NCCP pharmacy locator guide
Transcription
NCCP pharmacy locator guide
2016 NCCP – National Compound Credentialing Program CREDENTIALED PHARMACIES LISTING 225 Total Credentialed Pharmacies as of 10-24-2016 Introduction This user guide will assist members with the selection of a pharmacy which has been credentialed with the OptumRx National Compound Credentialing Program (NCCP). Using the Guide This guide is in alphabetical order by state. Each page provides a list of the pharmacies credentialed and licensed to dispense within that state. Symbols next to the pharmacies are also provided for reference for some of the more routine types of compounded products. If your type of product is not listed, or if you are unsure of the type of compounded product you are filling; the pharmacies listed should be able to answer your questions based on the prescriptions and direct you appropriately as to their ability to compound the product. Also, please be aware that not ALL compounded medications require a pharmacy that is listed within this Guide. Some of the more ‘simple’ compounds which do not require a rigorous credentialing review may be made available to you from any of the network pharmacy providers that you use for your routine medications. How to find a pharmacy that dispenses a specific type of compound medication The abbreviations below represent routine types of compounds. Not all pharmacies are credentialed to dispense all types of compounds. The charts on each page will let you know which which pharmacy may be able to compound the medication you need. (For example if the prescription appears to be for a topical product look for the TOP symbol after the pharmacies within your state.) TOP: HRT: PED: NAS: STR: denotes topical products (e.g. pain ointments/gels and topical hormone creams) denotes hormone replacement therapy and fertility medications (e.g. estriol) denotes pediatric (children) custom products (e.g. liquid g-tube preparations) denotes nasal or oral inhaled therapies (e.g. antibiotic or steroid nasal compounds) denotes sterile Preparations (e.g. IV, IM, SC and Epidural injections, Ophthalmic preparations and fortified antibiotic/antifungal drops) SUP: denotes Supplements (e.g. Enzymes, EFA’s, Vitamin A/C/D and Calcium) PTD: denotes Medicare Part D (e.g. a compound claim for a Medicare Part D beneficiary) Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 STATES MENU: Please click your specific state to navigate through the Pharmacy Locator Guide. AL AL – Cont. AK AK-Cont. AZ AZCont. AR AR-Cont. CA CA-Cont. CO COCont. CT CT-Cont. DC DE DE-Cont. FL FL-Cont. GA GA-Cont. HI HI-Cont. ID ID-Cont. IL IL-Cont. IN IN-Cont. IA IA-Cont. KS KS-Cont. KY KY-Cont LA LA-Cont. ME MECont. MD MDCont. MA MACont. MACont. 1 MA-Cont. 2 MACont. 3 MI MI-Cont. MN MNCont. MS MSCont. MO MOCont. MT MTCont. NE NE-Cont. NV NV.Cont. NH NHCont. NJ. NJ-Cont. NM NMCont. NY NY-Cont. NC NCCont. ND NDCont. OH OHCont. OK OKCont. OR OR-Cont. PA PACont. RI RI-Cont. SC SC-Cont. SD SDCont. TN TN-Cont. TX TX-Cont. UT VT VT-Cont VA VA-Cont. WA WACont. WV WVCont. WI WI-Cont. WY WYCont. Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 ALABAMA (AL) Pharmacy Name Address City State Phone Fax Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 Allcare Pharmacy and Healthcare Services 112 S. Oxley Drive Lyons GA 912-526-3200 912-526-5960 X X X America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Comprehensive Wellness Pharmacy 2269 Wilma Rudolph Blvd. Suite 103 Clarksville TN (855) 806-6042 Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X Everwell Specialty Pharmacy 825 E. Burgess Road Pensacola FL 850-473-9190 850-473-9935 X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Heritage Compounding Pharmacy 11 Midtown Park East Mobile AL 251-472-0814 251-472-0864 X X X Hibbett Patient Care 1502 N. McKenzie St Ste 114 Foley AL (251) 424-1544 (251) 424-1545 X X X Hill Country Apothecary Lakeway Tampa TX FL 512-351-9139 813-839-8861 X X X X Hoye's Pharmacy 1310 RR 620 S. Suite A-1 4330 South Manhattan Avenue X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary South Texas Inc 5009 S McColl Rd Suite A Edinburg TX 956-467-0246 956-688-8967 X X X X Inverness Apothecary Trinity Trinity Murphy AL TX 256-260-3350 972-535-2020 256-260-3351 855-385-9990 X X X X Inverness Lone Star Pharmacy 24333 Gordon Terry Parkway Suite B 223 E. FM 544 Suite 806 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Professional Arts Pharmacy 128 Curran Lane Lafayette LA 337-991-0101 337-991-0151 X X X X Professional Pharmacy 2001 North Airport Road 14003 Beach Blvd Jasper Jacksonville AL FL 205-221-4564 904-503-5030 205-221-4555 904-361-3866 X X X X X X X Smart Pharmacy TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X 512-366-5573 813-839-8941 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Return to Instructions * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 ALABAMA (AL) – Continued Pharmacy Name Address 3349 Independence Drive Suite 102 City Birmingham State Phone AL 205-870-3150 Fax 855-862-0446 TOP The Compounding Shoppe X X X X The Pill Box Pharmacy 2422 Danville Rd SW Suite J Decatur AL 256-353-1121 256-353-1790 X X X X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X X X X Vital Care of Meridian 1501 23rd Ave Meridian MS 800-652-6157 X X X X X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 X X X X X X X Return to Instructions 813-925-8933 HRT PED NAS STR SUP PTD X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 ALASKA (AK) Pharmacy Name Address City State Phone Fax Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X Broadway Apothecary 1515 Oak Street Eugene OR 541-684-9352 541-684-0858 X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy Fusion Specialty Pharmacy 2001 Westwood Blvd. Suite A 1100 Canyon View Drive Suite C Los Angeles Santa Clara CA UT (310) 204-6676 (310) 204-6678 435-703-9680 435-703-9681 Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 X X X RoxSan Pharmacy Beverly Hills Jacksonville CA FL (310) 273-1644 (310) 276-4152 904-361-3861 904-361-3866 X X X Smart Pharmacy 465 N. Roxbury Dr. Ground Floor 3740 St. Johns Bluff Road #19 X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X Return to Instructions 509-343-6251 817-887-5545 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 ARIZONA (AZ) Pharmacy Name Address City State Phone AAA Compounding Pharmacy 7921 Westminster Blvd. Westminster CA (714) 988-6888 (714) 677-2400 X Access Compounding Pharmacy 1450 Emerson Ave. #110 McLean VA (571) 488-6620 (571) 488-6621 X Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 All-Care Pharmacy 8415 N Pima Rd Suite 125 Scottsdale AZ (480) 270-6700 (480) 270-6701 X X X America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Avella of Scottsdale, Inc. 9777 N 91st ST Scottsdale AZ 480-451-3771 480-451-3503 X X X X Avella of Tucson, Inc. 4512 E Camp Lowell Drive Tucson AZ 520-918-0044 520-918-0043 X X X X Carefree Compounding Wellness 2525 W. Carefree Hwy Bld 1 Suite 100 Peoria AZ 623-806-1300 623-806-1304 X X X Cascade Specialty Pharmacy 325 NE Hostmark St Poulsbo WA (360) 779-2737 (360) 779-4905 X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 CPRx Pharmacy 351 Cypress Creek Rd Suite 100 Cedar Park TX (512) 382-7393 (512) 382-7488 X X Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. Inverness Wichita FL KS 352-341-1212 316-721-2626 352-341-2626 316-721-4823 X X Custom Rx Pharmacy & Wellness Concepts 102 E Highland Blvd 3510 N Ridge Road Suite 900 X X X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X Farma Pharmacy 5240 San Fernando Road Glendale CA (844) 849-3690 (818) 638-3136 X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A 1100 Canyon View Drive Suite C Los Angeles Santa Clara CA UT (310) 204-6676 (310) 204-6678 435-703-9680 435-703-9681 X X X X X X X X Hopewell Tampa NJ FL 609-466-1960 813-839-8861 X X X X X X Hoye's Pharmacy 1 West Borad Street 4330 South Manhattan Avenue X X X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X Inverness Apothecary South Texas Inc 5009 S McColl Rd Suite A Edinburg TX 956-467-0246 956-688-8967 X X X X Inverness Apothecary Trinity Trinity Murphy AL TX 256-260-3350 972-535-2020 256-260-3351 855-385-9990 X X X X Inverness Lone Star Pharmacy 24333 Gordon Terry Parkway Suite B 223 E. FM 544 Suite 806 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Kohana Pharmacy 181 Tank Farm Road Suite 120 San Luis Obispo CA 805-542-0864 805-542-0867 X X X X X X La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Medtown Rx Burbank Houston CA TX (818) 500-0079 (818) 500-0225 713-523-7847 713-524-5024 X X X X Memorial Compounding Pharmacy 4128 W. Burbank Blvd 2918 San Jacinto Street X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 X X X X Fusion Specialty Pharmacy Hopewell Pharmacy Return to Instructions Fax TOP HRT PED NAS STR SUP PTD X X X X 888-298-2220 609-466-8222 813-839-8941 866-891-3334 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 ARIZONA (AZ) – Continued Pharmacy Name Address City State Phone National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Partell Specialty Pharmacy East 5835 S Eastern Ave Suite 101 Las Vegas NV 702-791-3800 702-791-3630 X X X X X X X Partell Specialty Pharmacy West 8751 W Charleston Blvd Suite 120 Las Vegas NV 702-685-3800 702-685-3636 X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 1030 Louetta Road Suite C Houston TX 281-251-0888 281-251-0889 X X Pharmacy Innovations 4000 Park St St. Petersburg FL 727-381-0700 727-347-2050 X X X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X X X X Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 X X X X X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X Potter's House Apothecary 21753 N. 77th Ave #1100 Peoria AZ 623-362-9322 623-362-9001 X X X X X X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 509-343-6251 X X X RoxSan Pharmacy Beverly Hills Jacksonville CA FL (310) 273-1644 (310) 276-4152 904-361-3861 904-361-3866 X X X Smart Pharmacy 465 N. Roxbury Dr. Ground Floor 3740 St. Johns Bluff Road #19 X X X Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 X X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X Sugar Land Compounding Pharmacy 14823 Southwest Freeway, Suite B Sugar Land TX (281) 302-6080 (281) 302-8259 X X X X The Daily Dose Pharmacy 4534 West Gate Blvd Ste #111 Austin TX (512) 334-9697 (572) 334-9698 X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X Return to Instructions Fax 401-823-0300 305-969-5453 813-925-8933 817-887-5545 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 ARKANSAS (AR) Pharmacy Name Address City State Phone Fax Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Comprehensive Wellness Pharmacy 2269 Wilma Rudolph Blvd. Suite 103 Clarksville TN (855) 806-6042 Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Custom Pharmacy Solutions 2637 Valleydale Rd. 3510 N Ridge Road Suite 900 Birmingham Wichita AL KS 866-988-3383 316-721-2626 866-988-3553 316-721-4823 X X X X Custom Rx Pharmacy & Wellness Concepts X X X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Eldon Drug Company 101 S. Maple Street Eldon MO 573-392-4588 573-392-4425 X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X Professional Arts Pharmacy 128 Curran Lane Lafayette LA 337-991-0101 X X X X Red River Pharmacy Services Inc 1327 College Drive Texarkana TX (903) 792-7435 (903) 793-0485 X X X X X Stark Pharmacy 5701 W 119th Street Overland Park KS X X X X X X 6136 E 51st Street Tulsa OK 913-345-3803 918-665-8283 X The Apothecary Shoppe (Tulsa) 913-345-3800 918-665-2003 X X X X X X X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X X X X X Return to Instructions TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X 337-991-0151 817-887-5545 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 CALIFORNIA (CA) Pharmacy Name Address City State Phone AAA Compounding Pharmacy 7921 Westminster Blvd. Westminster CA (714) 988-6888 (714) 677-2400 Fax TOP Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 Advanced Therapeutics 319 E Palm Dr. Ste A & B Placentia CA (714) 667-3832 (888) 978-5154 X America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 CDM Drugs 2865 E Coast Hwy, Ste 150 Corona Del Mar CA Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove Chemistry Rx 829 Spruce Street Suite 100 Philadelphia Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Conversio Health CureRx Compounding Pharmacy X HRT PED NAS STR SUP PTD X X X 888-298-2220 X X X X X X X X X X X X X (949) 644-7575 (949) 644-2340 X X CA 831-373-1225 831-373-3705 X X X X X PA 855-790-0100 267-861-0862 X X X X X Daphne AL 251-626-2820 251-626-2850 X X X X 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 5060 W. Sunset Blvd Suite C Los Angeles CA 323-667-1111 323-667-1131 X Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X Custom HealthCare Compounding Pharmacy 24022 Calle De La Plata Suite 510 Laguna Hills CA (949) 595-2273 (949) 595-2275 X X X X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X Farma Pharmacy 5240 San Fernando Road Glendale CA (844) 849-3690 (818) 638-3136 X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy Los Angeles Santa Clara CA UT (310) 204-6676 (310) 204-6678 435-703-9680 435-703-9681 X X X X Fusion Specialty Pharmacy 2001 Westwood Blvd. Suite A 1100 Canyon View Drive Suite C X X X X Harbor Compounding and Home Healthcare 2000 Harbor Blvd Suite C100 Costa Mesa CA 949-642-0106 949-642-5039 X X X X Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Iron Horse Specialty Pharmacy 1479 Ygnacio Valley Rd. Ste 101 Walnut Creek CA (925) 949-8915 (925) 954-8254 X X Kohana Pharmacy 181 Tank Farm Road Suite 120 San Luis Obispo CA 805-542-0864 805-542-0867 X X X La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Medtown Rx 4128 W. Burbank Blvd Burbank CA (818) 500-0079 (818) 500-0225 X X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 X X X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Owens Healthcare #8 2025 Court Street Suite B Redding CA 530-244-8669 530-243-0687 X X X X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X Partell Specialty Pharmacy East 5835 S Eastern Ave Suite 101 Las Vegas NV 702-791-3800 702-791-3630 X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor San Ramon Custom Care Pharmacy 866-891-3334 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X (734) 821-8000 (734) 821-8001 X X X MT (406) 541-6121 (406) 541-6267 X X Spokane WA 509-343-6252 X X X Beverly Hills CA (310) 273-1644 (310) 276-4152 X X X X 124 Market Place San Ramon CA (925) 830-0555 (925) 830-0450 X X X X Scriptworks Pharmacy 480 N Wiget Lane Walnut Creek CA 925-934-4400 925-934-4442 X X X X Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X Valley Prescription and Compounding Pharmacy 330 E. 13th St Merced CA 209-722-5765 209-722-3296 X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Return to Instructions X X X 509-343-6251 X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 COLORADO (CO) Pharmacy Name Address City State Phone Fax Acton Pharmacy Inc 563 Massachusetts Ave Acton MA 978-263-3901 978-263-3901 Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Clearspring Pharmacy 206 W. County Line Road Suite 100 Highlands Ranch CO 303-707-1500 303-707-1717 X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions Birmingham Wichita AL KS 866-988-3383 316-721-2626 866-988-3553 316-721-4823 X X X X Custom Rx Pharmacy & Wellness Concepts 2637 Valleydale Rd. 3510 N Ridge Road Suite 900 X X X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X X X Everwell Specialty Pharmacy 825 E. Burgess Road Pensacola FL 850-473-9190 850-473-9935 X X X X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy Los Angeles Santa Clara CA UT (310) 204-6676 (310) 204-6678 435-703-9680 435-703-9681 X X X X Fusion Specialty Pharmacy 2001 Westwood Blvd. Suite A 1100 Canyon View Drive Suite C X X X X Harbor Compounding and Home Healthcare 2000 Harbor Blvd Suite C100 Costa Mesa CA 949-642-0106 949-642-5039 X X X X Highland Pharmacy 717 Encino Place NE Suite 1 Albuquerque NM 505-243-3777 505-242-3216 X X X X Hopewell Pharmacy Hopewell Tampa NJ FL 609-466-1960 813-839-8861 609-466-8222 813-839-8941 X X X Hoye's Pharmacy 1 West Borad Street 4330 South Manhattan Avenue X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 Return to Instructions TOP X HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 COLORADO (CO) – Continued Pharmacy Name Address City State Phone Fax Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Partell Specialty Pharmacy East 5835 S Eastern Ave Suite 101 Las Vegas NV 702-791-3800 702-791-3630 X X X X X X X Partell Specialty Pharmacy West 8751 W Charleston Blvd Suite 120 Las Vegas NV 702-685-3800 702-685-3636 X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Innovations 4000 Park St St. Petersburg FL 727-381-0700 727-347-2050 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Pharmacy Solutions Ann Arbor Altamonte Springs MI FL (734) 821-8000 (734) 821-8001 407-260-7002 407-260-7044 X X X Pharmacy Specialists 5204 Jackson Road Suite C 393 Maitland Ave X X X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 X X X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X Premier Custom Pharmacy 2000 PGA Blvd. Ste. 5507 Palm Beach Gardens FL 561-691-4998 561-691-4998 X X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor 3740 St. Johns Bluff Road #19 Beverly Hills Jacksonville CA FL (310) 273-1644 (310) 276-4152 904-361-3861 904-361-3866 X X X X Smart Pharmacy X X X Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X X X Return to Instructions 401-823-0300 305-969-5453 817-887-5545 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 CONNECTICUT (CT) Pharmacy Name Address City State Phone Access Compounding Pharmacy 1450 Emerson Ave. #110 McLean VA (571) 488-6620 (571) 488-6621 X Acton Pharmacy Inc 563 Massachusetts Ave Acton MA 978-263-3901 978-263-3901 X Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 Advanced Therapeutics 319 E Palm Dr. Ste A & B Placentia CA (714) 667-3832 (888) 978-5154 X America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg MS 877-847-4612 888-615-6578 X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Birds Hill Pharmacy 401 Great Plain Ave Needham MA 781-449-0550 781-449-7993 X X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X Haldey Pharmaceutical Compounding 2510 Westchester Ave Suite 207 Bronx NY 855-426-6768 855-326-6768 X X X X X Hopewell Pharmacy Hopewell Tampa NJ FL 609-466-1960 813-839-8861 609-466-8222 813-839-8941 X X X X X X X Hoye's Pharmacy 1 West Borad Street 4330 South Manhattan Avenue X X X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 X X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 Return to Instructions Fax 866-891-3334 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 CONNECTICUT (CT) – Continued Pharmacy Name Address City State Phone Fax Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pentec Health, Inc. 120 Forbes Blvd Suite 140 Mansfield MA 800-233-4376 610-494-7328 X PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 X X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X PROMED PHARMACY 537 East Meadow Ave East Meadow NY 516-307-9200 X X X X X ReadyScrip Advanced Pharma 201 Route 17 North, 11th floor Rutherford NJ (201) 549-8895 (201) 549-8878 X X X X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 X X X X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor 3740 St. Johns Bluff Road #19 Beverly Hills Jacksonville CA FL (310) 273-1644 (310) 276-4152 904-361-3861 904-361-3866 X X X X Smart Pharmacy X X X Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Return to Instructions 401-823-0300 516-307-9191 210-255-1461 305-969-5453 813-925-8933 TOP X HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 DISTRICT OF COLUMBIA (DC) Pharmacy Name Address City State Phone Fax Allcare Pharmacy and Healthcare Services 112 S. Oxley Drive Lyons GA 912-526-3200 912-526-5960 X X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Bradley Drugs 6900 Arlington Road Bethesda MD (301) 654-6776 (301) 657-9361 X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X X X Everwell Specialty Pharmacy 825 E. Burgess Road Pensacola FL 850-473-9190 850-473-9935 X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Jersey Shore Pharmacy 580 N Main Street Barnegat NJ 609-660-1111 609-660-0101 X X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X Patterson Park Pharmacy 2245 Eastern ave Baltimore MD (410) 675-6046 (410) 563-1147 X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor Beverly Hills CA (310) 273-1644 (310) 276-4152 X X X X X X X Rx3 Compounding Pharmacy 12230 Ironbridge Rd Suite C Chester VA 804-717-5000 804-717-8300 X X X X X X X Sunquest Pharmaceuticals 150 Eileen Way Suite 1 Syosset NY 516-513-0799 516-677-6050 X X X X The Compounding Center 36 Catoctin Circle Southeast Leesburg VA 703-779-3301 703-443-2283 X X X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X Volunteer Pharmacy 2403 US Highway 411 South Maryville TN (865) 724-1453 (865) 724-1601 X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 813-925-8933 X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 817-887-5545 X X Return to Instructions 423-245-6391 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 DELAWARE (DE) Pharmacy Name Address City State Phone Access Compounding Pharmacy 1450 Emerson Ave. #110 McLean VA (571) 488-6620 (571) 488-6621 Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg MS 877-847-4612 888-615-6578 X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X Hill Country Apothecary 1310 RR 620 S. Suite A-1 Lakeway TX 512-351-9139 512-366-5573 X X X X Hopewell Pharmacy Hopewell Tampa NJ FL 609-466-1960 813-839-8861 609-466-8222 813-839-8941 X X X X X X Hoye's Pharmacy 1 West Borad Street 4330 South Manhattan Avenue X X X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Innovations 4000 Park St St. Petersburg FL 727-381-0700 727-347-2050 X X X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 X X X X RoxSan Pharmacy Beverly Hills Jacksonville CA FL (310) 273-1644 (310) 276-4152 904-361-3861 904-361-3866 X X X X Smart Pharmacy 465 N. Roxbury Dr. Ground Floor 3740 St. Johns Bluff Road #19 X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 X X X X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Return to Instructions Fax 210-255-1461 877-495-5445 813-925-8933 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 FLORIDA (FL) Pharmacy Name Address City State Phone Fax Acton Pharmacy Inc 563 Massachusetts Ave Acton MA 978-263-3901 978-263-3901 Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 Allcare Pharmacy and Healthcare Services 112 S. Oxley Drive Lyons GA 912-526-3200 912-526-5960 X X X America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Aspirar Pharmacy 135 Parkway Office G STE 105 Cary NC 919-971-9011 855-382-7700 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg MS 877-847-4612 888-615-6578 X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Birds Hill Pharmacy 401 Great Plain Ave Needham MA 781-449-0550 781-449-7993 X X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Buderer Drug Company 633 Hancock Street Sandusky OH 419-627-2800 419-626-0494 X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X City Place Pharmacy 4047 Okeechobee Blvd Ste 218 West Palm Beach FL (561) 833-9960 (561) 835-1201 X X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X CureRx Compounding Pharmacy 5060 W. Sunset Blvd Suite C Los Angeles CA 323-667-1111 323-667-1131 X Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions Birmingham Wichita AL KS 866-988-3383 316-721-2626 866-988-3553 316-721-4823 X X X X Custom Rx Pharmacy & Wellness Concepts 2637 Valleydale Rd. 3510 N Ridge Road Suite 900 X X X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X X X Everwell Specialty Pharmacy 825 E. Burgess Road Pensacola FL 850-473-9190 850-473-9935 X X X X X X X Executive Pharmacy 4300 N University Drive Suite E200 Sunrise FL 954-368-0901 800-918-4152 X X Family Pharmacy 3644 Webber Street Sarasota FL 941-921-6645 941-923-7558 X X X X X X X Family Pharmacy 2653 Bruce B Downs Blvd Suite 115 Wesley Chapel FL 813-991-9500 813-991-9600 X X X X X X X Farma Pharmacy 5240 San Fernando Road Glendale CA (844) 849-3690 (818) 638-3136 X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X Haldey Pharmaceutical Compounding 2510 Westchester Ave Suite 207 Bronx NY 855-426-6768 855-326-6768 X X X Health Dimensions, Inc 39303 Country Club Drive A26 Farmington Hills MI 800-836-2303 248-489-1586 X X X X Heritage Compounding Pharmacy 11 Midtown Park East Mobile AL 251-472-0814 251-472-0864 X X X X Highland Pharmacy 717 Encino Place NE Suite 1 Albuquerque NM 505-243-3777 505-242-3216 X X X X Hill Country Apothecary 1310 RR 620 S. Suite A-1 Lakeway TX 512-351-9139 512-366-5573 X X X X Hopewell Pharmacy Hopewell Tampa NJ FL 609-466-1960 813-839-8861 609-466-8222 813-839-8941 X X X Hoye's Pharmacy 1 West Borad Street 4330 South Manhattan Avenue X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity Trinity Murphy AL TX 256-260-3350 972-535-2020 256-260-3351 855-385-9990 X X X X Inverness Lone Star Pharmacy 24333 Gordon Terry Parkway Suite B 223 E. FM 544 Suite 806 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Return to Instructions TOP X HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 FLORIDA (FL) – Continued Pharmacy Name Address City State Phone Fax Jersey Shore Pharmacy 580 N Main Street Barnegat NJ 609-660-1111 609-660-0101 X X X X Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X MD Compounding Pharmacy 721 Boardman-Canfield Rd Boardman OH 330-726-6337 855-301-8645 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X Partell Specialty Pharmacy East 5835 S Eastern Ave Suite 101 Las Vegas NV 702-791-3800 702-791-3630 X Partell Specialty Pharmacy West 8751 W Charleston Blvd Suite 120 Las Vegas NV 702-685-3800 702-685-3636 X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Innovations 4000 Park St St. Petersburg FL 727-381-0700 727-347-2050 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Pharmacy Solutions Ann Arbor Altamonte Springs MI FL (734) 821-8000 (734) 821-8001 407-260-7002 407-260-7044 X X X Pharmacy Specialists 5204 Jackson Road Suite C 393 Maitland Ave X X X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 X X X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X PrecisionRx 405 Waymont ct #101 Lake Mary FL (407) 322-2440 (407) 322-2470 X X Premier Custom Pharmacy 2000 PGA Blvd. Ste. 5507 Palm Beach Gardens FL 561-691-4998 561-691-4998 X X Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X Procare Pharmacy 1084 Lee Rd, Suite 4 Orlando FL (407) 730-2770 (407) 730-2764 X X X X Professional Arts Pharmacy 128 Curran Lane Lafayette LA 337-991-0101 337-991-0151 X X X X Professional Compounding Pharmacists 111 2nd Street Suite 100 Leechburg PA 877-883-9300 877-883-9301 X X X X PROMED PHARMACY 537 East Meadow Ave East Meadow NY 516-307-9200 516-307-9191 X X X X Pyramids Pharmacy 1201 Dairy Ashford Road Suite 114 Houston TX 281-589-2400 281-589-2405 X X X X ReadyScrip Advanced Pharma 201 Route 17 North, 11th floor Rutherford NJ (201) 549-8895 (201) 549-8878 X X X X X X Redi Pharmacy 250 West Route 59 Suite 5 Nanuet NY (845) 507-0630 (845) 507-0631 X X X X X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 509-343-6251 X X X Rock Valley Compounding Pharmacy 811 S. Perryville Rd Unit 109 Rockford IL (779) 423-0542 (815) 977-3077 X X X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor Beverly Hills CA (310) 273-1644 (310) 276-4152 X X X X X X X Rx3 Compounding Pharmacy Chester Jacksonville VA FL 804-717-5000 904-361-3861 804-717-8300 904-361-3866 X X X X X X X Smart Pharmacy 12230 Ironbridge Rd Suite C 3740 St. Johns Bluff Road #19 X X X X X Smart Pharmacy 14003 Beach Blvd Jacksonville FL 904-503-5030 904-361-3866 X X X X X Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X St. Louis Hills Pharmacy 4365 Chippewa St Suite 100 St. Louis MO (314) 832-2480 (314) 832-2498 X X X Sugar Land Compounding Pharmacy Sugar Land Birmingham TX AL (281) 302-6080 (281) 302-8259 205-870-3150 855-862-0446 X X X X The Compounding Shoppe 14823 Southwest Freeway, Suite B 3349 Independence Drive Suite 102 X X X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X Vital Care of Meridian 1501 23rd Ave Meridian MS 800-652-6157 X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 Return to Instructions 401-823-0300 813-925-8933 817-887-5545 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 GEORGIA (GA) Pharmacy Name Address City State Phone Fax Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 TOP HRT PED NAS STR SUP PTD Allcare Pharmacy and Healthcare Services 112 S. Oxley Drive Lyons GA 912-526-3200 912-526-5960 X X X America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg MS 877-847-4612 888-615-6578 X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X Comprehensive Wellness Pharmacy 2269 Wilma Rudolph Blvd. Suite 103 Clarksville TN (855) 806-6042 Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X Custom Pharmacy Solutions Birmingham Wichita AL KS 866-988-3383 316-721-2626 866-988-3553 316-721-4823 X X X X Custom Rx Pharmacy & Wellness Concepts 2637 Valleydale Rd. 3510 N Ridge Road Suite 900 X X X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X Everwell Specialty Pharmacy 825 E. Burgess Road Pensacola FL 850-473-9190 850-473-9935 X Family Pharmacy 3644 Webber Street Sarasota FL 941-921-6645 941-923-7558 Family Pharmacy 2653 Bruce B Downs Blvd Suite 115 Wesley Chapel FL 813-991-9500 Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ Foundation Care, LLC 4010 Wedgeway Court Earth City Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Heritage Compounding Pharmacy Hoye's Pharmacy X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 813-991-9600 X X X X X X X 480-496-4444 480-496-4450 X X MO 314-291-1122 314-291-1133 X Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X 11 Midtown Park East 4330 South Manhattan Avenue Mobile Tampa AL FL 251-472-0814 813-839-8861 X X X X X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity Trinity Murphy AL TX 256-260-3350 972-535-2020 256-260-3351 855-385-9990 X X X X Inverness Lone Star Pharmacy 24333 Gordon Terry Parkway Suite B 223 E. FM 544 Suite 806 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 Return to Instructions 251-472-0864 813-839-8941 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 GEORGIA (GA) – Continued Pharmacy Name Address City State Phone Fax Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X Partell Specialty Pharmacy West 8751 W Charleston Blvd Suite 120 Las Vegas NV 702-685-3800 702-685-3636 X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 X X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X Premier Custom Pharmacy 2000 PGA Blvd. Ste. 5507 Palm Beach Gardens FL 561-691-4998 561-691-4998 X X Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X Rx3 Compounding Pharmacy 12230 Ironbridge Rd Suite C 3740 St. Johns Bluff Road #19 Chester Jacksonville VA FL 804-717-5000 904-361-3861 804-717-8300 904-361-3866 X X X X X X Smart Pharmacy X X X X X Smart Pharmacy 14003 Beach Blvd Jacksonville FL 904-503-5030 904-361-3866 X X X X X Sobe Compounding Apothecary Miami Birmingham FL AL 305-969-5410 205-870-3150 305-969-5453 855-862-0446 X X X X The Compounding Shoppe 13150 SW 134 St 3349 Independence Drive Suite 102 X X X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X Return to Instructions 401-823-0300 817-887-5545 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 HAWAII (HI) Pharmacy Name Address City State Phone Fax Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 TOP HRT PED NAS STR SUP PTD America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Broadway Apothecary 1515 Oak Street Eugene OR 541-684-9352 541-684-0858 X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X Farma Pharmacy 5240 San Fernando Road Glendale CA (844) 849-3690 (818) 638-3136 X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy Fusion Specialty Pharmacy 2001 Westwood Blvd. Suite A 1100 Canyon View Drive Suite C Los Angeles Santa Clara CA UT (310) 204-6676 (310) 204-6678 435-703-9680 435-703-9681 Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Partell Specialty Pharmacy East 5835 S Eastern Ave Suite 101 Las Vegas NV 702-791-3800 702-791-3630 X X X X X X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 Pinnacle Compounding Smart Pharmacy 1120 Kensington Ave. Ste. E 3740 St. Johns Bluff Road #19 Missoula Jacksonville MT FL Sobe Compounding Apothecary 13150 SW 134 St Miami The Honolulu Pharmacy 1188 Bishop St #2303 Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Vasco Rx Specialty Pharmacy X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X (406) 541-6121 (406) 541-6267 904-361-3861 904-361-3866 X X X X X FL 305-969-5410 305-969-5453 X X X Honolulu HI 808-533-8887 808-533-1888 X X Phoenix AZ (480) 351-8278 (480) 351-8277 X 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 X X X X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X X X Return to Instructions 401-823-0300 813-925-8933 817-887-5545 X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 IDAHO (ID) Pharmacy Name Address City State Phone Fax Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X Cascade Specialty Pharmacy 325 NE Hostmark St Poulsbo WA (360) 779-2737 (360) 779-4905 X X X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy Los Angeles Santa Clara CA UT (310) 204-6676 (310) 204-6678 435-703-9680 435-703-9681 X X X X Fusion Specialty Pharmacy 2001 Westwood Blvd. Suite A 1100 Canyon View Drive Suite C X X X X Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X X X X Ladd Family Pharmacy 1109 S. Broadway Ave Boise ID 208-947-0877 208-947-0874 X X X X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X X Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 509-343-6251 X X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor 3740 St. Johns Bluff Road #19 Beverly Hills Jacksonville CA FL (310) 273-1644 (310) 276-4152 904-361-3861 904-361-3866 X X X Smart Pharmacy X X X Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 X X X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Return to Instructions 813-839-8941 305-969-5453 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 ILLINOIS (IL) Pharmacy Name Address City State Phone Access Compounding Pharmacy 1450 Emerson Ave. #110 McLean VA (571) 488-6620 (571) 488-6621 Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg MS 877-847-4612 888-615-6578 X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X BioMed Specialty Pharmacy 7731 Cox Lane West Chester OH 513-847-1260 513-847-1506 X X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X Comprehensive Wellness Pharmacy 2269 Wilma Rudolph Blvd. Suite 103 Clarksville TN (855) 806-6042 Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions Birmingham Wichita AL KS 866-988-3383 316-721-2626 866-988-3553 316-721-4823 X X X X Custom Rx Pharmacy & Wellness Concepts 2637 Valleydale Rd. 3510 N Ridge Road Suite 900 X X X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Doug's Pharmacy 137 N. Market Street Paxton IL X X Indianapolis IN 217-379-6115 317-842-5953 X 7320 E 82nd Street 217-379-3684 317-842-5771 X Dr. Aziz Pharmacy X X X X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Eldon Drug Company 101 S. Maple Street Eldon MO 573-392-4588 573-392-4425 X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X Health Dimensions, Inc 39303 Country Club Drive A26 Farmington Hills MI 800-836-2303 248-489-1586 X X X X Heritage Compounding Pharmacy 11 Midtown Park East Mobile AL 251-472-0814 251-472-0864 X X X X Hopewell Pharmacy Hopewell Tampa NJ FL 609-466-1960 813-839-8861 609-466-8222 813-839-8941 X X X Hoye's Pharmacy 1 West Borad Street 4330 South Manhattan Avenue X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Return to Instructions Fax TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 ILLINOIS (IL) – Continued Pharmacy Name Address City State Phone Fax Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Partell Specialty Pharmacy East 5835 S Eastern Ave Suite 101 Las Vegas NV 702-791-3800 702-791-3630 X X X X X X X Partell Specialty Pharmacy West 8751 W Charleston Blvd Suite 120 Las Vegas NV 702-685-3800 702-685-3636 X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Innovations 4000 Park St St. Petersburg FL 727-381-0700 727-347-2050 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 X X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X Precision Compounding Pharmacy 2113 State Street New Albany IN 812-941-9300 812-941-9417 X X X X Professional Arts Pharmacy 128 Curran Lane Lafayette LA 337-991-0101 337-991-0151 X X X X ReadyScrip Advanced Pharma 201 Route 17 North, 11th floor Rutherford NJ (201) 549-8895 (201) 549-8878 X X X X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 X X X X X Rock Valley Compounding Pharmacy 811 S. Perryville Rd Unit 109 Rockford IL (779) 423-0542 (815) 977-3077 X X X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor Beverly Hills CA (310) 273-1644 (310) 276-4152 X X X X X X X Rx3 Compounding Pharmacy Chester Jacksonville VA FL 804-717-5000 904-361-3861 804-717-8300 904-361-3866 X X X X X X X Smart Pharmacy 12230 Ironbridge Rd Suite C 3740 St. Johns Bluff Road #19 X X X X X Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X St. Louis Hills Pharmacy 4365 Chippewa St Suite 100 St. Louis MO (314) 832-2480 (314) 832-2498 X X X Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 X X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X X X Return to Instructions 401-823-0300 210-255-1461 913-345-3803 817-887-5545 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 INDIANA (IN) Pharmacy Name Address City State Phone Access Compounding Pharmacy 1450 Emerson Ave. #110 McLean VA (571) 488-6620 (571) 488-6621 Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Aspirar Pharmacy 135 Parkway Office G STE 105 Cary NC 919-971-9011 855-382-7700 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg MS 877-847-4612 888-615-6578 X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X BioMed Specialty Pharmacy 7731 Cox Lane West Chester OH 513-847-1260 513-847-1506 X X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Buderer Drug Company 633 Hancock Street Sandusky OH 419-627-2800 419-626-0494 X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Clark Professional Pharmacy 3280 Washtenaw Ave Ann Arbor MI 734-369-8782 734-585-5184 X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X Comprehensive Wellness Pharmacy 2269 Wilma Rudolph Blvd. Suite 103 Clarksville TN (855) 806-6042 Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions Birmingham Wichita AL KS 866-988-3383 316-721-2626 866-988-3553 316-721-4823 X X X X Custom Rx Pharmacy & Wellness Concepts 2637 Valleydale Rd. 3510 N Ridge Road Suite 900 X X X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Doug's Pharmacy 137 N. Market Street Paxton IL X X Indianapolis IN 217-379-6115 317-842-5953 X 7320 E 82nd Street 217-379-3684 317-842-5771 X Dr. Aziz Pharmacy X X X X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Eldon Drug Company 101 S. Maple Street Eldon MO 573-392-4588 573-392-4425 X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Fort Wayne Custom Rx Inc 425 E Dupont Road Fort Wayne IN 260-490-3447 260-490-3457 X X X X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X Harbor Compounding and Home Healthcare 2000 Harbor Blvd Suite C100 Costa Mesa CA 949-642-0106 949-642-5039 X X X X Health Dimensions, Inc 39303 Country Club Drive A26 Farmington Hills MI 800-836-2303 248-489-1586 X X X X Hill Country Apothecary 1310 RR 620 S. Suite A-1 Lakeway TX 512-351-9139 512-366-5573 X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Return to Instructions Fax TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 INDIANA (IN) – Continued Pharmacy Name Address City State Phone Fax Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 Patterson Park Pharmacy 2245 Eastern ave Baltimore MD (410) 675-6046 (410) 563-1147 Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Innovations 4000 Park St St. Petersburg FL 727-381-0700 727-347-2050 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 X X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X Precision Compounding Pharmacy 2113 State Street New Albany IN 812-941-9300 812-941-9417 X X Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X Professional Arts Pharmacy 128 Curran Lane Lafayette LA 337-991-0101 337-991-0151 X X X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X Rock Valley Compounding Pharmacy 811 S. Perryville Rd Unit 109 Rockford IL (779) 423-0542 (815) 977-3077 X X X X RoxSan Pharmacy Beverly Hills Jacksonville CA FL (310) 273-1644 (310) 276-4152 904-361-3861 904-361-3866 X X X X Smart Pharmacy 465 N. Roxbury Dr. Ground Floor 3740 St. Johns Bluff Road #19 X X X Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 X X X X Return to Instructions 401-823-0300 305-969-5453 813-925-8933 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 IOWA (IA) Pharmacy Name Address City State Phone Fax Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 TOP HRT PED NAS STR SUP PTD America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Comprehensive Wellness Pharmacy 2269 Wilma Rudolph Blvd. Suite 103 Clarksville TN (855) 806-6042 Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions Birmingham Wichita AL KS 866-988-3383 316-721-2626 866-988-3553 316-721-4823 X X X X Custom Rx Pharmacy & Wellness Concepts 2637 Valleydale Rd. 3510 N Ridge Road Suite 900 X X X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 La Vita Compounding Pharmacy Lee Silsby Compounding Pharmacy X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 855-422-2400 X X X 770-421-1399 770-426-1965 X X X AL 256-260-3350 256-260-3351 X X X X Castle Rock CO 303-663-4224 303-663-4263 X X X X 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X X 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 863 Fairmount Ave Jamestown NY 716-484-1586 716-488-0073 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor 3740 St. Johns Bluff Road #19 Beverly Hills Jacksonville CA FL (310) 273-1644 (310) 276-4152 904-361-3861 904-361-3866 X X X Smart Pharmacy X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 X X X X X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X X X Return to Instructions 913-345-3803 817-887-5545 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 KANSAS (KS) Pharmacy Name Address City State Phone 1 Script Solution RX 2060 Space Park Drive, Ste 108 Houston TX (855) 553-3157 (855) 223-4008 X Access Compounding Pharmacy 1450 Emerson Ave. #110 McLean VA (571) 488-6620 (571) 488-6621 X Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg MS 877-847-4612 888-615-6578 X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X Clearspring Pharmacy 206 W. County Line Road Suite 100 Highlands Ranch CO 303-707-1500 303-707-1717 X X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions Birmingham Wichita AL KS 866-988-3383 316-721-2626 866-988-3553 316-721-4823 X X X X Custom Rx Pharmacy & Wellness Concepts 2637 Valleydale Rd. 3510 N Ridge Road Suite 900 X X X X Custom Rx Pharmacy & Wellness Concepts 2350 N Greenwich Road Suite 1000 Wichita KS 316-636-9595 316-636-9591 X X X X Dandurand Drugs 7732 E. Central Wichita KS 316-685-2353 316-685-5331 X X X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Eldon Drug Company 101 S. Maple Street Eldon MO 573-392-4588 573-392-4425 X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy Los Angeles Santa Clara CA UT (310) 204-6676 (310) 204-6678 435-703-9680 435-703-9681 X X X X Fusion Specialty Pharmacy 2001 Westwood Blvd. Suite A 1100 Canyon View Drive Suite C X X X X Heritage Compounding Pharmacy 11 Midtown Park East Mobile AL 251-472-0814 251-472-0864 X X X X Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 X X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 Return to Instructions Fax 866-891-3334 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 KANSAS (KS) – Continued Pharmacy Name Address City State Phone Fax Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Partell Specialty Pharmacy East 5835 S Eastern Ave Suite 101 Las Vegas NV 702-791-3800 702-791-3630 X X X X X X X Partell Specialty Pharmacy West 8751 W Charleston Blvd Suite 120 Las Vegas NV 702-685-3800 702-685-3636 X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Link Birmingham Altamonte Springs AL FL 866-332-6966 407-260-7002 866-374-4761 407-260-7044 X X Pharmacy Specialists 3648 Vann Road Building II Suite 116 393 Maitland Ave X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 3740 St. Johns Bluff Road #19 San Antonio Jacksonville TX FL 210-718-0300 904-361-3861 210-255-1461 904-361-3866 X X X Smart Pharmacy X X X Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X Stark Pharmacy 5701 W 119th Street Overland Park KS X X X X X X X The Apothecary Shoppe (Tulsa) 6136 E 51st Street Tulsa OK 913-345-3800 918-665-2003 X X X X X X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X Return to Instructions 913-345-3803 918-665-8283 813-925-8933 817-887-5545 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 KENTUCKY (KY) Pharmacy Name Address City State Phone Fax Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X BioMed Specialty Pharmacy 7731 Cox Lane West Chester OH 513-847-1260 513-847-1506 X X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Buderer Drug Company 633 Hancock Street Sandusky OH 419-627-2800 419-626-0494 X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X X Comprehensive Wellness Pharmacy 2269 Wilma Rudolph Blvd. Suite 103 Clarksville TN (855) 806-6042 Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fountain Plaza Pharmacy 2825 W. Andrew Johnson Hwy Morristown TN (423) 307-5757 (423) 307-5241 X X X X Hill Country Apothecary 1310 RR 620 S. Suite A-1 Lakeway TX 512-351-9139 512-366-5573 X X X X Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Precision Compounding Pharmacy 2113 State Street New Albany IN 812-941-9300 812-941-9417 X X Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X ProCompounding Pharmacy 527 N. State of Franklin Rd. Suite 2 Johnson City TN (423) 975-0597 (423) 975-6304 X X X X Professional Arts Pharmacy 128 Curran Lane Lafayette LA 337-991-0101 X X X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor Beverly Hills CA (310) 273-1644 (310) 276-4152 X X X Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 913-345-3803 X X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Return to Instructions TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X 337-991-0151 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 LOUISIANA (LA) Pharmacy Name Address City State Phone Fax Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 TOP HRT PED NAS STR SUP PTD America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Boudreaux's Specialty Compounding Pharmacy 2551 Greenwood Road #110 Shreveport LA 318-631-2005 318-631-1883 X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B 223 E. FM 544 Suite 806 Trinity Murphy AL TX 256-260-3350 972-535-2020 256-260-3351 855-385-9990 X X X X Inverness Lone Star Pharmacy X X X X Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 Medaus Pharmacy Memorial Compounding Pharmacy 6801 Cahaba Valley Rd Suite 116 2918 San Jacinto Street Birmingham Houston AL TX Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff Park Compounding 9257 Research Dr Irvine Patient Care America 5371 Hiatus Road Pentec Health, Inc. X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X (205) 981-2352 (205) 981-2767 713-523-7847 713-524-5024 X X X X NJ 888-891-3334 866-891-3334 X X X X X X X CA 949-551-7195 949-551-1950 X X X X X X X Sunrise FL 954-473-4717 954-473-9519 X 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X Pharmacy Innovations 1030 Louetta Road Suite C Houston TX 281-251-0888 281-251-0889 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X X Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X X Professional Arts Pharmacy 128 Curran Lane Lafayette LA 337-991-0101 337-991-0151 X X X X Rx3 Compounding Pharmacy 12230 Ironbridge Rd Suite C Chester VA 804-717-5000 804-717-8300 X X X X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Return to Instructions X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 MAINE (ME) Pharmacy Name Address City State Phone Fax Acton Pharmacy Inc 563 Massachusetts Ave Acton MA 978-263-3901 978-263-3901 TOP Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Birds Hill Pharmacy 401 Great Plain Ave Needham MA 781-449-0550 781-449-7993 X X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Xpress Compounding 1000 W. Weatherford St Suite 120 X HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X (406) 541-6121 (406) 541-6267 X X FL 727-495-6979 X X X X AZ (602) 971-6950 (602) 404-2504 X X X X Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Fort Worth TX 844-977-3770 X X Return to Instructions X X X 817-887-5545 X X X X 727-213-6979 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 MARYLAND (MD) Pharmacy Name Address City State Phone Access Compounding Pharmacy 1450 Emerson Ave. #110 McLean VA (571) 488-6620 (571) 488-6621 Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 Alexandria Compounding Pharmacy 500 Montgomery St. #120 Alexandria VA (703) 549-4350 (703) 683-1039 X X X America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Bradley Drugs 6900 Arlington Road Bethesda MD (301) 654-6776 (301) 657-9361 X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X Hopewell Pharmacy 1 West Borad Street 4330 South Manhattan Avenue Hopewell Tampa NJ FL 609-466-1960 813-839-8861 X X X X X X Hoye's Pharmacy X X X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X Inverness Apothecary Trinity Trinity Murphy AL TX 256-260-3350 972-535-2020 256-260-3351 855-385-9990 X X X X Inverness Lone Star Pharmacy 24333 Gordon Terry Parkway Suite B 223 E. FM 544 Suite 806 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X X X Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X X X X Medicap Pharmacy 956 J. Clyde Morris Blvd Newport News VA 757-599-9643 757-599-9647 X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 Patterson Park Pharmacy 2245 Eastern ave Baltimore MD (410) 675-6046 (410) 563-1147 Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X Return to Instructions Fax TOP HRT PED NAS STR SUP PTD X X X 888-298-2220 609-466-8222 813-839-8941 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 MARYLAND (MD)-Continued Pharmacy Name Address City State Phone Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X Rustburg Family Pharmacy 925 Village Hwy Ste 2 Rustburg VA 434-332-1730 434-332-1736 X X X X X X X Rx3 Compounding Pharmacy 12230 Ironbridge Rd Suite C Chester VA 804-717-5000 804-717-8300 X X X X X X X The Compounding Center 36 Catoctin Circle Southeast Leesburg VA 703-779-3301 703-443-2283 X X X X X X X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Return to Instructions Fax 813-925-8933 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 MASSACHUSETTS (MA) Pharmacy Name Address City State Phone 1 Script Solution RX 2060 Space Park Drive, Ste 108 Houston TX (855) 553-3157 (855) 223-4008 X AAA Compounding Pharmacy 7921 Westminster Blvd. Westminster CA (714) 988-6888 (714) 677-2400 X Access Compounding Pharmacy 1450 Emerson Ave. #110 McLean VA (571) 488-6620 (571) 488-6621 X Acton Pharmacy Inc 563 Massachusetts Ave Acton MA 978-263-3901 978-263-3901 X Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 Advanced Therapeutics 319 E Palm Dr. Ste A & B Placentia CA (714) 667-3832 (888) 978-5154 X Akron Health Mart Pharmacy 879 East Exchange St Akron OH 330-375-5040 X X X Alexandria Compounding Pharmacy 500 Montgomery St. #120 Alexandria VA (703) 549-4350 (703) 683-1039 X X X All-Care Pharmacy 8415 N Pima Rd Suite 125 Scottsdale AZ (480) 270-6700 (480) 270-6701 X X X Allcare Pharmacy and Healthcare Services 112 S. Oxley Drive Lyons GA 912-526-3200 912-526-5960 X X X America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Apothecare Compounding Pharmacy 9150 Huebner Rd. Suite #125B San Antonio TX (210) 696-4100 (210) 696-4105 X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Aspirar Pharmacy 135 Parkway Office G STE 105 Cary NC 919-971-9011 855-382-7700 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg MS 877-847-4612 888-615-6578 X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Avella of Scottsdale, Inc. 9777 N 91st ST Scottsdale AZ 480-451-3771 480-451-3503 X X X X Avella of Tucson, Inc. 4512 E Camp Lowell Drive Tucson AZ 520-918-0044 520-918-0043 X X X X B&J Pharmacy 2111 Hunter Road San Marcos TX 512-392-3301 512-392-3360 X X X X Baker Express Pharmacy 1842 N Hwy 81 Duncan OK 580-255-3784 580-252-6278 X X X X Best Choice Pharmacy 138-19 Queens Blvd Briarwood NY (718) 558-0008 (718) 558-0001 X X X BioMed Specialty Pharmacy 7731 Cox Lane West Chester OH 513-847-1260 513-847-1506 X X X X X Birds Hill Pharmacy 401 Great Plain Ave Needham MA 781-449-0550 781-449-7993 X X X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Boudreaux's Specialty Compounding Pharmacy 2551 Greenwood Road #110 Shreveport LA 318-631-2005 318-631-1883 X X X X Bradley Drugs 6900 Arlington Road Bethesda MD (301) 654-6776 (301) 657-9361 X X X X Broadway Apothecary 1515 Oak Street Eugene OR 541-684-9352 541-684-0858 X X X X Buderer Drug Company 38530 Chester Road Suite 400 Avon OH 440-934-3100 440-934-3103 X X X X X X X Buderer Drug Company 26611 N. Dixie Highway Suite 119 Perrysburg OH 419-873-2800 419-873-0494 X X X X X X X Buderer Drug Company 633 Hancock Street Sandusky OH 419-627-2800 419-626-0494 X X X X X X X Cadila Pharmacy 23832 Southfield Rd Southfield MI (248) 557-9333 (248) 557-4970 X Carefree Compounding Wellness 2525 W. Carefree Hwy Bld 1 Suite 100 Peoria AZ 623-806-1300 623-806-1304 X X X Carolina Compounding & Nutritional Pharmacy 7825 Ballantyne Commons Parkway Suite 230 Charlotte NC 704-540-4330 704-540-4660 X X X X Cascade Specialty Pharmacy 325 NE Hostmark St Poulsbo WA (360) 779-2737 (360) 779-4905 X X X X CDM Drugs 2865 E Coast Hwy, Ste 150 Corona Del Mar CA (949) 644-7575 (949) 644-2340 X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy Inc 483 Kings Highway Brooklyn NY 718-375-4100 718-375-4633 X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X City Place Pharmacy 4047 Okeechobee Blvd Ste 218 West Palm Beach FL (561) 833-9960 (561) 835-1201 X X X X Clark Professional Pharmacy 3280 Washtenaw Ave Ann Arbor MI 734-369-8782 X X X X X Clark's Rx Pharmacy 7415 Old Troy Pike Huber Heights OH (937) 506-3060 (937) 506-3061 X X X X X Clearspring Pharmacy Highlands Ranch Denton CO TX 303-707-1500 940-382-1618 303-707-1717 940-898-1986 X X X X X X X Community Pharmacy 206 W. County Line Road Suite 100 4400 Teasley Lane #100 X X X X X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X Comprehensive Wellness Pharmacy 2269 Wilma Rudolph Blvd. Suite 103 Clarksville TN (855) 806-6042 Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X Return to Instructions Fax 330-375-5048 734-585-5184 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 MASSACHUSETTS (MA) – Continued Pharmacy Name Address City State Phone Fax ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Jersey Shore Pharmacy 580 N Main Street Barnegat NJ 609-660-1111 609-660-0101 X X X X Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X X Just In Time Pharmacy 96 Moore St. Brooklyn NY 718-218-6630 718-218-8046 X Kare Pharmacy 136 Arnett Blvd Danville VA (434) 792-8281 (434) 792-3235 X X X X X Keystone Pharmacy 4021 Cascade Road SE Grand Rapids MI 616-974-9792 616-464-3469 X X X X Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X Kohana Pharmacy 181 Tank Farm Road Suite 120 San Luis Obispo CA 805-542-0864 805-542-0867 X X X X X X La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X X X X Ladd Family Pharmacy 1109 S. Broadway Ave Boise ID 208-947-0877 208-947-0874 X X X X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Louis & Clark Drug #102 300 Birnie Ave Springfield MA 413-736-5649 413-736-5099 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X McMahan Pharmacy Services Inc 1503 West Front Street Goldthwaite TX 325-648-2484 325-648-3417 X X X X X MD Compounding Pharmacy 721 Boardman-Canfield Rd Boardman OH 330-726-6337 855-301-8645 X X X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X Medicap Pharmacy 956 J. Clyde Morris Blvd Newport News VA 757-599-9643 757-599-9647 X Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X Medtown Rx Burbank Houston CA TX (818) 500-0079 (818) 500-0225 713-523-7847 713-524-5024 X X Memorial Compounding Pharmacy 4128 W. Burbank Blvd 2918 San Jacinto Street X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 X X Modern Medicine Rx 33-41 Newark St Suite 2b Hoboken NJ (201) 420-9000 (201) 420-4040 X X Mt. Olympus Compounding, LLC 392 E 12300 S Suite A Draper UT (801) 278-9008 (801) 849-0399 X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Nour Pharmacy 535 Getty Avenue #2 Clifton NJ 973-955-4000 X X X Oakdell Pharmacy 7220 Louis Pasteur, Ste 176 San Antonio TX (210) 614-6200 (210) 614-3848 X X X X Owens Healthcare #8 2025 Court Street Suite B Redding CA 530-244-8669 530-243-0687 X X X X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X Partell Specialty Pharmacy East 5835 S Eastern Ave Suite 101 Las Vegas NV 702-791-3800 702-791-3630 X X X X Partell Specialty Pharmacy West 8751 W Charleston Blvd Suite 120 Las Vegas NV 702-685-3800 702-685-3636 X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 Patterson Park Pharmacy 2245 Eastern ave Baltimore MD (410) 675-6046 (410) 563-1147 Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X Pentec Health, Inc. 120 Forbes Blvd Suite 140 Mansfield MA 800-233-4376 610-494-7328 X PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 620 Congaree Road Suite F Greenville SC 864-241-0477 864-241-0843 X Pharmacy Innovations 1030 Louetta Road Suite C Houston TX 281-251-0888 281-251-0889 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 Pharmacy Innovations 863 Fairmount Ave Jamestown NY 716-484-1586 Pharmacy Innovations 4661 Haygood Road Suite 101 Virginia Beach VA Pharmacy Innovations 4000 Park St St. Petersburg Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham Pharmacy Solutions Pharmacy Specialists 5204 Jackson Road Suite C 393 Maitland Ave Phusion Pharmacy Pinnacle Compounding 866-891-3334 973-955-4009 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 716-488-0073 X X X X X X X 757-934-0533 757-228-3991 X X X X X FL 727-381-0700 727-347-2050 X X X X AL 866-332-6966 866-374-4761 X X X X X Ann Arbor Altamonte Springs MI FL (734) 821-8000 (734) 821-8001 407-260-7002 407-260-7044 X X X X X X X X X 17 Coventry Shoppers Park Coventry RI 401-823-0000 X X X X 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X Potter's House Apothecary 21753 N. 77th Ave #1100 Peoria AZ 623-362-9322 623-362-9001 X X X X Precision Compounding Pharmacy 2113 State Street New Albany IN 812-941-9300 812-941-9417 X X X X PrecisionRx 405 Waymont ct #101 Lake Mary FL (407) 322-2440 (407) 322-2470 X X Return to Instructions 401-823-0300 X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 MASSACHUSETTS (MA) – Continued Pharmacy Name Address City State Phone Fax ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Jersey Shore Pharmacy 580 N Main Street Barnegat NJ 609-660-1111 609-660-0101 X X X X Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X X Just In Time Pharmacy 96 Moore St. Brooklyn NY 718-218-6630 718-218-8046 X Kare Pharmacy 136 Arnett Blvd Danville VA (434) 792-8281 (434) 792-3235 X X X X X Keystone Pharmacy 4021 Cascade Road SE Grand Rapids MI 616-974-9792 616-464-3469 X X X X Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X Kohana Pharmacy 181 Tank Farm Road Suite 120 San Luis Obispo CA 805-542-0864 805-542-0867 X X X X X X La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X X X X Ladd Family Pharmacy 1109 S. Broadway Ave Boise ID 208-947-0877 208-947-0874 X X X X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Louis & Clark Drug #102 300 Birnie Ave Springfield MA 413-736-5649 413-736-5099 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X McMahan Pharmacy Services Inc 1503 West Front Street Goldthwaite TX 325-648-2484 325-648-3417 X X X X X MD Compounding Pharmacy 721 Boardman-Canfield Rd Boardman OH 330-726-6337 855-301-8645 X X X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X Medicap Pharmacy 956 J. Clyde Morris Blvd Newport News VA 757-599-9643 757-599-9647 X Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X Medtown Rx Burbank Houston CA TX (818) 500-0079 (818) 500-0225 713-523-7847 713-524-5024 X X Memorial Compounding Pharmacy 4128 W. Burbank Blvd 2918 San Jacinto Street X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 X X Modern Medicine Rx 33-41 Newark St Suite 2b Hoboken NJ (201) 420-9000 (201) 420-4040 X X Mt. Olympus Compounding, LLC 392 E 12300 S Suite A Draper UT (801) 278-9008 (801) 849-0399 X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Nour Pharmacy 535 Getty Avenue #2 Clifton NJ 973-955-4000 X X X Oakdell Pharmacy 7220 Louis Pasteur, Ste 176 San Antonio TX (210) 614-6200 (210) 614-3848 X X X X Owens Healthcare #8 2025 Court Street Suite B Redding CA 530-244-8669 530-243-0687 X X X X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X Partell Specialty Pharmacy East 5835 S Eastern Ave Suite 101 Las Vegas NV 702-791-3800 702-791-3630 X X X X Partell Specialty Pharmacy West 8751 W Charleston Blvd Suite 120 Las Vegas NV 702-685-3800 702-685-3636 X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 Patterson Park Pharmacy 2245 Eastern ave Baltimore MD (410) 675-6046 (410) 563-1147 Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X Pentec Health, Inc. 120 Forbes Blvd Suite 140 Mansfield MA 800-233-4376 610-494-7328 X PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 620 Congaree Road Suite F Greenville SC 864-241-0477 864-241-0843 X Pharmacy Innovations 1030 Louetta Road Suite C Houston TX 281-251-0888 281-251-0889 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 Pharmacy Innovations 863 Fairmount Ave Jamestown NY 716-484-1586 Pharmacy Innovations 4661 Haygood Road Suite 101 Virginia Beach VA Pharmacy Innovations 4000 Park St St. Petersburg Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham Pharmacy Solutions Pharmacy Specialists 5204 Jackson Road Suite C 393 Maitland Ave Phusion Pharmacy Pinnacle Compounding 866-891-3334 973-955-4009 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 716-488-0073 X X X X X X X 757-934-0533 757-228-3991 X X X X X FL 727-381-0700 727-347-2050 X X X X AL 866-332-6966 866-374-4761 X X X X X Ann Arbor Altamonte Springs MI FL (734) 821-8000 (734) 821-8001 407-260-7002 407-260-7044 X X X X X X X X X 17 Coventry Shoppers Park Coventry RI 401-823-0000 X X X X 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X Potter's House Apothecary 21753 N. 77th Ave #1100 Peoria AZ 623-362-9322 623-362-9001 X X X X Precision Compounding Pharmacy 2113 State Street New Albany IN 812-941-9300 812-941-9417 X X X X PrecisionRx 405 Waymont ct #101 Lake Mary FL (407) 322-2440 (407) 322-2470 X X Return to Instructions 401-823-0300 X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 MASSACHUSETTS (MA) – Continued Pharmacy Name Address City Premier Custom Pharmacy 2000 PGA Blvd. Ste. 5507 Palm Beach Gardens FL State Phone 561-691-4998 Fax 561-691-4998 X X Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X Procare Pharmacy 1084 Lee Rd, Suite 4 Orlando FL (407) 730-2770 (407) 730-2764 X X X X ProCompounding Pharmacy 527 N. State of Franklin Rd. Suite 2 Johnson City TN (423) 975-0597 (423) 975-6304 X X X X Professional Arts Pharmacy 128 Curran Lane Lafayette LA 337-991-0101 337-991-0151 X X X X X Professional Compounding Pharmacists 111 2nd Street Suite 100 Leechburg PA 877-883-9300 877-883-9301 X X X X X Professional Pharmacy 2001 North Airport Road Jasper AL 205-221-4564 205-221-4555 X X X X PROMED PHARMACY 537 East Meadow Ave East Meadow NY 516-307-9200 516-307-9191 X X X X Pure Health Pharmacy 8014 18th Ave Brooklyn NY 718-236-2747 718-236-2723 X Pyramids Pharmacy 1201 Dairy Ashford Road Suite 114 Houston TX 281-589-2400 281-589-2405 X X X X Pyramids Pharmacy Webster 500 N Kobayashi Road Suite E Webster TX 281-724-0531 281-724-0535 X X X X X X ReadyScrip Advanced Pharma 201 Route 17 North, 11th floor Rutherford NJ (201) 549-8895 (201) 549-8878 X X X X X X Red River Pharmacy Services Inc 1327 College Drive Texarkana TX (903) 792-7435 (903) 793-0485 X X X X Redi Pharmacy 250 West Route 59 Suite 5 Nanuet NY (845) 507-0630 (845) 507-0631 X X X X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X Richie's Specialty Pharmacy 12820 Highway 105 W Conroe TX 936-588-6337 936-588-2232 X Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 509-343-6251 X X X Rock Valley Compounding Pharmacy 811 S. Perryville Rd Unit 109 Rockford IL (779) 423-0542 (815) 977-3077 X X X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor Beverly Hills CA (310) 273-1644 (310) 276-4152 X X X X X X X Rustburg Family Pharmacy 925 Village Hwy Ste 2 Rustburg VA 434-332-1730 434-332-1736 X X X X X X X Rx3 Compounding Pharmacy 12230 Ironbridge Rd Suite C Chester VA 804-717-5000 804-717-8300 X X X X X X X San Ramon Custom Care Pharmacy 124 Market Place San Ramon CA (925) 830-0555 (925) 830-0450 X X X X X X Scriptworks Pharmacy 480 N Wiget Lane Walnut Creek CA 925-934-4400 925-934-4442 X X X X X X Sierra Compounding Pharmacy Reno Jacksonville NV FL 775-853-3500 904-361-3861 775-853-3501 904-361-3866 X X X X Smart Pharmacy 9738 S. Virginia Street #G 3740 St. Johns Bluff Road #19 X X X X X Smart Pharmacy 14003 Beach Blvd Jacksonville FL 904-503-5030 904-361-3866 X X X X X Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X Solutions Pharmacy 8825 Bee Cave Rd Suite A 11420 W. Huguenot Road Austin Midlothian TX VA (512) 382-9381 (512) 532-6689 804-897-6447 804-897-6449 X X X X X X South River Compounding Pharmacy X X X X X X South River Compounding Pharmacy 3656 Mayland Court Richmond VA 804-897-6447 X X X X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X St. Louis Hills Pharmacy 4365 Chippewa St Suite 100 St. Louis MO (314) 832-2480 (314) 832-2498 X X X X X Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 913-345-3803 X X X X X X X Stonegate Pharmacy 2501 W. William Cannon Suite 203 Austin TX 512-707-2300 512-707-2378 X X X X X X X Stonegate Pharmacy at the Village 5625 Eiger Rd Suite 250 Austin TX (512) 693-4222 (512) 487-5311 X X X X Stonegate Pharmacy on Broadway 2515 Broadway San Antonio TX (210) 354-0101 (210) 354-0404 X X X X Sugar Land Compounding Pharmacy 14823 Southwest Freeway, Suite B Sugar Land TX (281) 302-6080 (281) 302-8259 X X X X X Sunquest Pharmaceuticals 150 Eileen Way Suite 1 Syosset NY 516-513-0799 X X X X X Tarrytown Pharmacy 2727 Exposition Blvd #105 Austin TX X X X X X 6136 E 51st Street Tulsa OK (512) 478-6419 (512) 478-1638 918-665-2003 918-665-8283 X The Apothecary Shoppe (Tulsa) X X X X X X X The Apothecary Shoppe of BA 510 N Elm Place Broken Arrow OK 918-449-9988 918-449-9989 X X X X X X X The Compounding Center Leesburg Birmingham VA AL 703-779-3301 205-870-3150 703-443-2283 855-862-0446 X X X X X X X The Compounding Shoppe 36 Catoctin Circle Southeast 3349 Independence Drive Suite 102 X X X X The Daily Dose Pharmacy 4534 West Gate Blvd Ste #111 Austin TX (512) 334-9697 (572) 334-9698 X X The Honolulu Pharmacy 1188 Bishop St #2303 Honolulu HI 808-533-8887 808-533-1888 X X The Pill Box Pharmacy 2422 Danville Rd SW Suite J Decatur AL 256-353-1121 256-353-1790 X X X The Wellness Center Pharmacy & Surgical 3117 U.S. 9 Old Bridge NJ 732-679-3555 732-679-6797 X X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X Triumph Pharmacy 6875 FM 1488 Road Suite 300 Magnolia TX 281-252-4200 281-252-4201 X X X X V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X Valley Prescription and Compounding Pharmacy 330 E. 13th St Merced CA 209-722-5765 X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X Vernak Farms Country Store and Pharmacy 1889 East Lake Road Skaneateles NY 315-673-9327 315-673-9896 X Village Pharmacy 898 Tanager Street Incline Village NV 775-831-1133 775-831-2228 Vital Care of Meridian 1501 23rd Ave Meridian MS 800-652-6157 Volunteer Pharmacy 2403 US Highway 411 South Maryville TN Westchase Compounding Pharmacy 12617 Race Track Road Tampa Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Xpress Compounding 1000 W. Weatherford St Suite 120 804-967-6449 516-677-6050 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X (865) 724-1453 (865) 724-1601 X X X FL 813-925-8200 X X X X X X Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Fort Worth TX 844-977-3770 X X X X Return to Instructions 209-722-3296 813-925-8933 817-887-5545 X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 MICHIGAN (MI) Pharmacy Name Address City State Phone Fax Acton Pharmacy Inc 563 Massachusetts Ave Acton MA 978-263-3901 978-263-3901 Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X BioMed Specialty Pharmacy 7731 Cox Lane West Chester OH 513-847-1260 513-847-1506 X X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Buderer Drug Company 26611 N. Dixie Highway Suite 119 Perrysburg OH 419-873-2800 419-873-0494 X X X X X X X Buderer Drug Company 633 Hancock Street Sandusky OH 419-627-2800 419-626-0494 X X X X X X X Cadila Pharmacy 23832 Southfield Rd Southfield MI (248) 557-9333 (248) 557-4970 X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Clark Professional Pharmacy 3280 Washtenaw Ave Ann Arbor MI 734-369-8782 734-585-5184 X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Fort Wayne Custom Rx Inc 425 E Dupont Road Fort Wayne IN 260-490-3447 260-490-3457 X X X X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X Health Dimensions, Inc 39303 Country Club Drive A26 Farmington Hills MI 800-836-2303 248-489-1586 X X X X X Healthway Compounding Pharmacy 2544 McLeod Dr. Suite #12 Saginaw MI 989-791-1691 989-791-4603 X X X X X Heritage Compounding Pharmacy 11 Midtown Park East Mobile AL 251-472-0814 251-472-0864 X X X X Hopewell Pharmacy Hopewell Tampa NJ FL 609-466-1960 813-839-8861 609-466-8222 813-839-8941 X X X X X X Hoye's Pharmacy 1 West Borad Street 4330 South Manhattan Avenue X X X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Keystone Pharmacy 4021 Cascade Road SE Grand Rapids MI 616-974-9792 616-464-3469 X X X X Kohana Pharmacy 181 Tank Farm Road Suite 120 San Luis Obispo CA 805-542-0864 805-542-0867 X X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X Return to Instructions TOP X HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 MICHIGAN (MI) – Continued Pharmacy Name Address City State Phone Fax Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 TOP Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 Pyramids Pharmacy 1201 Dairy Ashford Road Suite 114 Houston TX 281-589-2400 281-589-2405 RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor Beverly Hills CA Sobe Compounding Apothecary 13150 SW 134 St Miami St. Louis Hills Pharmacy 4365 Chippewa St Suite 100 TPS 3524 Decatur Highway Suite 302 Vasco Rx Specialty Pharmacy Woodland Hills Pharmacy X HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X (310) 273-1644 (310) 276-4152 X X X FL 305-969-5410 X X X St. Louis MO (314) 832-2480 (314) 832-2498 X X X Fultondale AL 205-608-4995 X 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Return to Instructions 305-969-5453 205-608-2718 X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 MINNESOTA (MN) Pharmacy Name Address City State Phone Access Compounding Pharmacy 1450 Emerson Ave. #110 McLean VA (571) 488-6620 (571) 488-6621 Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X Buderer Drug Company 633 Hancock Street Sandusky OH 419-627-2800 419-626-0494 X X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions Birmingham Wichita AL KS 866-988-3383 316-721-2626 866-988-3553 316-721-4823 X X X X Custom Rx Pharmacy & Wellness Concepts 2637 Valleydale Rd. 3510 N Ridge Road Suite 900 X X X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X Health Dimensions, Inc 39303 Country Club Drive A26 Farmington Hills MI 800-836-2303 248-489-1586 X X X X Heritage Compounding Pharmacy 11 Midtown Park East Mobile AL 251-472-0814 251-472-0864 X X X X Hopewell Pharmacy Hopewell Tampa NJ FL 609-466-1960 813-839-8861 609-466-8222 813-839-8941 X X X Hoye's Pharmacy 1 West Borad Street 4330 South Manhattan Avenue X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity Trinity Murphy AL TX 256-260-3350 972-535-2020 256-260-3351 855-385-9990 X X X X Inverness Lone Star Pharmacy 24333 Gordon Terry Parkway Suite B 223 E. FM 544 Suite 806 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 X X X X X X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Return to Instructions Fax 866-891-3334 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 MINNESOTA (MN) – Continued Pharmacy Name Address City State Phone Fax Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Innovations 4000 Park St St. Petersburg FL 727-381-0700 727-347-2050 X X Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 X X X X ReadyScrip Advanced Pharma 201 Route 17 North, 11th floor Rutherford NJ (201) 549-8895 (201) 549-8878 X X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor 3740 St. Johns Bluff Road #19 Beverly Hills Jacksonville CA FL (310) 273-1644 (310) 276-4152 904-361-3861 904-361-3866 X Smart Pharmacy X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 X X X X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X X X Return to Instructions 401-823-0300 210-255-1461 913-345-3803 813-925-8933 817-887-5545 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 MISSISSIPPI (MS) Pharmacy Name Address City State Phone Fax Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 Allcare Pharmacy and Healthcare Services 112 S. Oxley Drive Lyons GA 912-526-3200 912-526-5960 X X X America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg MS 877-847-4612 888-615-6578 X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X Comprehensive Wellness Pharmacy 2269 Wilma Rudolph Blvd. Suite 103 Clarksville TN (855) 806-6042 Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X Doctor's Specialty Pharmacy 1720A Medical Park Drive Biloxi MS (228) 207-7716 (228) 207-9598 X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fountain Plaza Pharmacy 2825 W. Andrew Johnson Hwy Morristown TN (423) 307-5757 (423) 307-5241 X X X X X Heritage Compounding Pharmacy 11 Midtown Park East Mobile AL 251-472-0814 X X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary South Texas Inc 5009 S McColl Rd Suite A Edinburg TX 956-467-0246 956-688-8967 X X X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X ProCompounding Pharmacy 527 N. State of Franklin Rd. Suite 2 Johnson City TN (423) 975-0597 (423) 975-6304 X X X X Professional Arts Pharmacy 128 Curran Lane Lafayette LA 337-991-0101 X X X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor Beverly Hills CA (310) 273-1644 (310) 276-4152 X X X X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Vital Care of Meridian 1501 23rd Ave Meridian MS 800-652-6157 X X X X Return to Instructions TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X 337-991-0151 X X X 251-472-0864 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 MISSOURI (MO) Pharmacy Name Address City State Phone Access Compounding Pharmacy 1450 Emerson Ave. #110 McLean VA (571) 488-6620 (571) 488-6621 Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg MS 877-847-4612 888-615-6578 X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Bradley Drugs 6900 Arlington Road Bethesda MD (301) 654-6776 (301) 657-9361 X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X Comprehensive Wellness Pharmacy 2269 Wilma Rudolph Blvd. Suite 103 Clarksville TN (855) 806-6042 Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions Birmingham Wichita AL KS 866-988-3383 316-721-2626 866-988-3553 316-721-4823 X X X X Custom Rx Pharmacy & Wellness Concepts 2637 Valleydale Rd. 3510 N Ridge Road Suite 900 X X X X Custom Rx Pharmacy & Wellness Concepts 2350 N Greenwich Road Suite 1000 Wichita KS 316-636-9595 316-636-9591 X X X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy Los Angeles Santa Clara CA UT (310) 204-6676 (310) 204-6678 435-703-9680 435-703-9681 X X X X Fusion Specialty Pharmacy 2001 Westwood Blvd. Suite A 1100 Canyon View Drive Suite C X X X X Harbor Compounding and Home Healthcare 2000 Harbor Blvd Suite C100 Costa Mesa CA 949-642-0106 949-642-5039 X X X X Health Dimensions, Inc 39303 Country Club Drive A26 Farmington Hills MI 800-836-2303 248-489-1586 X X X X Heritage Compounding Pharmacy 11 Midtown Park East Mobile AL 251-472-0814 251-472-0864 X X X X Hopewell Pharmacy Hopewell Tampa NJ FL 609-466-1960 813-839-8861 609-466-8222 813-839-8941 X X X Hoye's Pharmacy 1 West Borad Street 4330 South Manhattan Avenue X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 X X X X X X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Partell Specialty Pharmacy East 5835 S Eastern Ave Suite 101 Las Vegas NV 702-791-3800 702-791-3630 X X X X X X X Partell Specialty Pharmacy West 8751 W Charleston Blvd Suite 120 Las Vegas NV 702-685-3800 702-685-3636 X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Return to Instructions Fax TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X 866-891-3334 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 MISSOURI (MO) – Continued Pharmacy Name Address City State Phone Fax PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X X X X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X X X Pharmacy Innovations 4000 Park St St. Petersburg FL 727-381-0700 727-347-2050 X X Pharmacy Solutions 5204 Jackson Road Suite C 393 Maitland Ave Ann Arbor Altamonte Springs MI FL (734) 821-8000 (734) 821-8001 407-260-7002 407-260-7044 X X X Pharmacy Specialists X X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X ReadyScrip Advanced Pharma 201 Route 17 North, 11th floor Rutherford NJ (201) 549-8895 (201) 549-8878 X X X X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 X X X X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor 3740 St. Johns Bluff Road #19 Beverly Hills Jacksonville CA FL (310) 273-1644 (310) 276-4152 904-361-3861 904-361-3866 X X X X Smart Pharmacy X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X St. Louis Hills Pharmacy 4365 Chippewa St Suite 100 St. Louis MO (314) 832-2480 (314) 832-2498 X X X X X Stark Pharmacy 5701 W 119th Street Overland Park KS X X X X X X 6136 E 51st Street Tulsa OK 913-345-3803 918-665-8283 X The Apothecary Shoppe (Tulsa) 913-345-3800 918-665-2003 X X X X X X X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 813-925-8933 X X X X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 817-887-5545 X X X X X X Return to Instructions 210-255-1461 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 MONTANA (MT) Pharmacy Name Address City State Phone Fax Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy Los Angeles Santa Clara CA UT (310) 204-6676 (310) 204-6678 435-703-9680 435-703-9681 X X X X Fusion Specialty Pharmacy 2001 Westwood Blvd. Suite A 1100 Canyon View Drive Suite C X X X X Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 X X X X X X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 X X X RoxSan Pharmacy Beverly Hills CA Jacksonville FL (310) 273-1644 (310) 276-4152 904-361-3861 904-361-3866 X X X Smart Pharmacy 465 N. Roxbury Dr. Ground Floor 3740 St. Johns Bluff Road #19 X X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X Return to Instructions TOP HRT PED NAS STR SUP PTD X 866-891-3334 509-343-6251 817-887-5545 X X X X (866) 239-3784 (800) 977-9255 813-839-8941 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 NEBRASKA (NE) Pharmacy Name Address State Phone Fax Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland City MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Clearspring Pharmacy 206 W. County Line Road Suite 100 Highlands Ranch CO 303-707-1500 303-707-1717 X X X X Conversio Health Custom Rx Pharmacy & Wellness Concepts 720 Aerovista Place Suite D 3510 N Ridge Road Suite 900 San Luis Obispo Wichita CA KS (866) 239-3784 (800) 977-9255 316-721-2626 316-721-4823 X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X Partell Specialty Pharmacy East 5835 S Eastern Ave Suite 101 Las Vegas NV 702-791-3800 702-791-3630 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor Beverly Hills CA (310) 273-1644 (310) 276-4152 X X X X Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Return to Instructions 913-345-3803 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 NEVADA (NV) Pharmacy Name Address City State Phone AAA Compounding Pharmacy 7921 Westminster Blvd. Westminster CA (714) 988-6888 (714) 677-2400 X X X X Acton Pharmacy Inc 563 Massachusetts Ave Acton MA 978-263-3901 978-263-3901 X X X X Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 Advanced Therapeutics 319 E Palm Dr. Ste A & B Placentia CA (714) 667-3832 (888) 978-5154 X America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg MS 877-847-4612 888-615-6578 X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Avella of Scottsdale, Inc. 9777 N 91st ST Scottsdale AZ 480-451-3771 480-451-3503 X X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X CDM Drugs 2865 E Coast Hwy, Ste 150 Corona Del Mar CA (949) 644-7575 (949) 644-2340 X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 CureRx Compounding Pharmacy 5060 W. Sunset Blvd Suite C Los Angeles 323-667-1111 323-667-1131 X Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions Birmingham Wichita AL KS 866-988-3383 316-721-2626 866-988-3553 316-721-4823 X X X X Custom Rx Pharmacy & Wellness Concepts 2637 Valleydale Rd. 3510 N Ridge Road Suite 900 X X X X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Don's Pharmacy 501 Ralston Street Reno NV 775-329-2000 775-329-6716 X X X X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X Farma Pharmacy 5240 San Fernando Road Glendale CA (844) 849-3690 (818) 638-3136 X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy Los Angeles Santa Clara CA UT (310) 204-6676 (310) 204-6678 435-703-9680 435-703-9681 X X X X Fusion Specialty Pharmacy 2001 Westwood Blvd. Suite A 1100 Canyon View Drive Suite C X X X X Harbor Compounding and Home Healthcare 2000 Harbor Blvd Suite C100 Costa Mesa CA 949-642-0106 949-642-5039 X X X X Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 X X X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Owens Healthcare #8 2025 Court Street Suite B Redding CA 530-244-8669 X X X X Return to Instructions CA Fax 866-891-3334 530-243-0687 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 NEVADA (NV) – Continued Pharmacy Name Address City State Phone Fax Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Partell Specialty Pharmacy East 5835 S Eastern Ave Suite 101 Las Vegas NV 702-791-3800 702-791-3630 X X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Innovations 4000 Park St St. Petersburg FL 727-381-0700 727-347-2050 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 X X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X Sierra Compounding Pharmacy Reno Jacksonville NV FL 775-853-3500 904-361-3861 775-853-3501 904-361-3866 X X X X Smart Pharmacy 9738 S. Virginia Street #G 3740 St. Johns Bluff Road #19 X X X Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X Sunquest Pharmaceuticals 150 Eileen Way Suite 1 Syosset NY 516-513-0799 X X X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X Valley Prescription and Compounding Pharmacy 330 E. 13th St Merced CA 209-722-5765 X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Village Pharmacy 898 Tanager Street Incline Village NV 775-831-1133 775-831-2228 X X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 813-925-8933 X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 817-887-5545 X X Return to Instructions 401-823-0300 516-677-6050 209-722-3296 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 NEW HAMPSHIRE (NH) Pharmacy Name Address City State Phone Fax Acton Pharmacy Inc 563 Massachusetts Ave Acton MA 978-263-3901 978-263-3901 Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Birds Hill Pharmacy 401 Great Plain Ave Needham MA 781-449-0550 781-449-7993 X X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X Health Dimensions, Inc 39303 Country Club Drive A26 Farmington Hills MI 800-836-2303 248-489-1586 X X X X Heritage Compounding Pharmacy 11 Midtown Park East Mobile AL 251-472-0814 251-472-0864 X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX Return to Instructions TOP X HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X (855) 876-3060 (866) 893-9320 X X X X 844-977-3770 X X X X 813-925-8933 817-887-5545 X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 NEW JERSEY (NJ) Pharmacy Name Address City State Phone Access Compounding Pharmacy 1450 Emerson Ave. #110 McLean VA (571) 488-6620 (571) 488-6621 X Acton Pharmacy Inc 563 Massachusetts Ave Acton MA 978-263-3901 978-263-3901 X Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg MS 877-847-4612 888-615-6578 X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X CDM Drugs 2865 E Coast Hwy, Ste 150 Corona Del Mar CA (949) 644-7575 (949) 644-2340 X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X CureRx Compounding Pharmacy 5060 W. Sunset Blvd Suite C Los Angeles CA 323-667-1111 323-667-1131 X Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X X X Family Pharmacy 2653 Bruce B Downs Blvd Suite 115 Wesley Chapel FL 813-991-9500 813-991-9600 X X X X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X Hill Country Apothecary 1310 RR 620 S. Suite A-1 Lakeway TX 512-351-9139 512-366-5573 X X X X Hopewell Pharmacy Hopewell Tampa NJ FL 609-466-1960 813-839-8861 609-466-8222 813-839-8941 X X X X X X Hoye's Pharmacy 1 West Borad Street 4330 South Manhattan Avenue X X X X X X Ideal Care Pharmacy 1621 Ave U Brooklyn NY (718) 382-1990 (718) 382-1991 X Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Jersey Shore Pharmacy 580 N Main Street Barnegat NJ 609-660-1111 609-660-0101 X X X X Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X X Kare Pharmacy 136 Arnett Blvd Danville VA (434) 792-8281 (434) 792-3235 X X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Return to Instructions Fax TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 NEW JERSEY (NJ) - Continued Pharmacy Name Address City State Phone Fax Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X Modern Medicine Rx 33-41 Newark St Suite 2b Hoboken NJ (201) 420-9000 (201) 420-4040 X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Nour Pharmacy 535 Getty Avenue #2 Clifton NJ 973-955-4000 973-955-4009 X X X Partell Specialty Pharmacy East 5835 S Eastern Ave Suite 101 Las Vegas NV 702-791-3800 702-791-3630 X X X X X Partell Specialty Pharmacy West 8751 W Charleston Blvd Suite 120 Las Vegas NV 702-685-3800 702-685-3636 X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 863 Fairmount Ave Jamestown NY 716-484-1586 716-488-0073 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X PROMED PHARMACY 537 East Meadow Ave East Meadow NY 516-307-9200 516-307-9191 X X X X X ReadyScrip Advanced Pharma 201 Route 17 North, 11th floor Rutherford NJ (201) 549-8895 (201) 549-8878 X X X X X X Redi Pharmacy 250 West Route 59 Suite 5 Nanuet NY (845) 507-0630 (845) 507-0631 X X X X X X RepublicRx Specialty Pharmacy San Antonio Jacksonville TX FL 210-718-0300 904-361-3861 X X X X X Smart Pharmacy 1862 W. Bitters Rd Ste. 100 3740 St. Johns Bluff Road #19 X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X St. Louis Hills Pharmacy 4365 Chippewa St Suite 100 St. Louis MO (314) 832-2480 (314) 832-2498 X X X Sunquest Pharmaceuticals 150 Eileen Way Suite 1 Syosset NY 516-513-0799 516-677-6050 X X X The Wellness Center Pharmacy & Surgical 3117 U.S. 9 Old Bridge NJ 732-679-3555 732-679-6797 X X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Return to Instructions 210-255-1461 904-361-3866 813-925-8933 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 NEW MEXICO (NM) Pharmacy Name Address City State Phone Access Compounding Pharmacy 1450 Emerson Ave. #110 McLean VA (571) 488-6620 (571) 488-6621 Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Avella of Scottsdale, Inc. 9777 N 91st ST Scottsdale AZ 480-451-3771 480-451-3503 X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Eldon Drug Company 101 S. Maple Street Eldon MO 573-392-4588 573-392-4425 X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy Los Angeles Santa Clara CA UT (310) 204-6676 (310) 204-6678 435-703-9680 435-703-9681 X X X X Fusion Specialty Pharmacy 2001 Westwood Blvd. Suite A 1100 Canyon View Drive Suite C X X X X Highland Pharmacy 717 Encino Place NE Suite 1 Albuquerque NM 505-243-3777 505-242-3216 X X X X X X X Hopewell Pharmacy Hopewell Tampa NJ FL 609-466-1960 813-839-8861 609-466-8222 813-839-8941 X X X X X X X Hoye's Pharmacy 1 West Borad Street 4330 South Manhattan Avenue X X X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Partell Specialty Pharmacy East 5835 S Eastern Ave Suite 101 Las Vegas NV 702-791-3800 702-791-3630 X X X X X X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Innovations 4000 Park St St. Petersburg FL 727-381-0700 727-347-2050 X X X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X Riverpoint Pharmacy Spokane Jacksonville WA FL 509-343-6252 904-361-3861 509-343-6251 904-361-3866 X X X Smart Pharmacy 528 E Spokane Fall Blvd #110 3740 St. Johns Bluff Road #19 X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 X X X X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X X X Return to Instructions Fax 813-925-8933 817-887-5545 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 NEW YORK (NY) Pharmacy Name Address City State Phone Fax Acton Pharmacy Inc 563 Massachusetts Ave Acton MA 978-263-3901 978-263-3901 Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg MS 877-847-4612 888-615-6578 X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Avella of Scottsdale, Inc. 9777 N 91st ST Scottsdale AZ 480-451-3771 480-451-3503 X X X X Best Choice Pharmacy 138-19 Queens Blvd Briarwood NY (718) 558-0008 (718) 558-0001 X X X Birds Hill Pharmacy 401 Great Plain Ave Needham MA 781-449-0550 781-449-7993 X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy Inc 483 Kings Highway Brooklyn NY 718-375-4100 718-375-4633 X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X CPRx Pharmacy 351 Cypress Creek Rd Suite 100 Cedar Park TX (512) 382-7393 (512) 382-7488 X CureRx Compounding Pharmacy 5060 W. Sunset Blvd Suite C Los Angeles CA 323-667-1111 323-667-1131 X Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions Birmingham Wichita AL KS 866-988-3383 316-721-2626 866-988-3553 316-721-4823 X X X X Custom Rx Pharmacy & Wellness Concepts 2637 Valleydale Rd. 3510 N Ridge Road Suite 900 X X X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X X X Family Pharmacy 2653 Bruce B Downs Blvd Suite 115 Wesley Chapel FL 813-991-9500 813-991-9600 X X X X X X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X Fulton Care Pharmacy 557 East 168th Street Bronx NY (347) 918-8700 (347) 918-8701 X Fusion Rx Compounding Pharmacy Los Angeles Santa Clara CA UT (310) 204-6676 (310) 204-6678 435-703-9680 435-703-9681 X X X X Fusion Specialty Pharmacy 2001 Westwood Blvd. Suite A 1100 Canyon View Drive Suite C X X X X Fusioncare Pharmacy Inc. 187-23 Hillside Ave Jamaica NY (347) 644-1886 (347) 829-3018 X H & C Chemists Inc. 1299 First Avenue New York NY (212) 535-1700 (212) 535-1700 X Haldey Pharmaceutical Compounding 2510 Westchester Ave Suite 207 Bronx NY 855-426-6768 855-326-6768 X X X Health Dimensions, Inc 39303 Country Club Drive A26 Farmington Hills MI 800-836-2303 248-489-1586 X X X X Heritage Compounding Pharmacy 11 Midtown Park East Mobile AL 251-472-0814 251-472-0864 X X X X Hopewell Pharmacy Hopewell Tampa NJ FL 609-466-1960 813-839-8861 609-466-8222 813-839-8941 X X X Hoye's Pharmacy 1 West Borad Street 4330 South Manhattan Avenue X X X Ideal Care Pharmacy 1621 Ave U Brooklyn NY (718) 382-1990 (718) 382-1991 Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Return to Instructions TOP X HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 NEW YORK (NY) – Continued Pharmacy Name Address City State Phone Fax Jersey Shore Pharmacy 580 N Main Street Barnegat NJ 609-660-1111 609-660-0101 X X X X Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X Just In Time Pharmacy 96 Moore St. Brooklyn NY 718-218-6630 718-218-8046 X Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X X X Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X X X X Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X Modern Medicine Rx 33-41 Newark St Suite 2b Hoboken NJ (201) 420-9000 (201) 420-4040 X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Partell Specialty Pharmacy West 8751 W Charleston Blvd Suite 120 Las Vegas NV 702-685-3800 702-685-3636 X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pentec Health, Inc. 120 Forbes Blvd Suite 140 Mansfield MA 800-233-4376 610-494-7328 X PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X Pharmacy Innovations 863 Fairmount Ave Jamestown NY 716-484-1586 716-488-0073 X Pharmacy Innovations 4000 Park St St. Petersburg FL 727-381-0700 727-347-2050 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Pharmacy Solutions Ann Arbor Altamonte Springs MI FL (734) 821-8000 (734) 821-8001 407-260-7002 407-260-7044 X X X Pharmacy Specialists 5204 Jackson Road Suite C 393 Maitland Ave X X X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 X X X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X X X Professional Arts Pharmacy 128 Curran Lane Lafayette LA 337-991-0101 337-991-0151 X X X X X Pure Health Pharmacy 8014 18th Ave Brooklyn NY 718-236-2747 718-236-2723 X ReadyScrip Advanced Pharma 201 Route 17 North, 11th floor Rutherford NJ (201) 549-8895 (201) 549-8878 X X X X X X Redi Pharmacy 250 West Route 59 Suite 5 Nanuet NY (845) 507-0630 (845) 507-0631 X X X X X X RepublicRx Specialty Pharmacy San Antonio Jacksonville TX FL 210-718-0300 904-361-3861 X X X X X Smart Pharmacy 1862 W. Bitters Rd Ste. 100 3740 St. Johns Bluff Road #19 X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X St. Louis Hills Pharmacy 4365 Chippewa St Suite 100 St. Louis MO (314) 832-2480 (314) 832-2498 X X X X X Sugar Land Compounding Pharmacy 14823 Southwest Freeway, Suite B Sugar Land TX (281) 302-6080 (281) 302-8259 X X X X X X Sunquest Pharmaceuticals 150 Eileen Way Suite 1 Syosset NY 516-513-0799 X X X X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Vernak Farms Country Store and Pharmacy 1889 East Lake Road Skaneateles NY 315-673-9327 315-673-9896 X X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 813-925-8933 X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X Return to Instructions 401-823-0300 210-255-1461 904-361-3866 516-677-6050 817-887-5545 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 NORTH CAROLINA (NC) Pharmacy Name Address City State Phone Fax Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 TOP HRT PED NAS STR SUP PTD Allcare Pharmacy and Healthcare Services 112 S. Oxley Drive Lyons GA 912-526-3200 912-526-5960 X X X America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Aspirar Pharmacy 135 Parkway Office G STE 105 Cary NC 919-971-9011 855-382-7700 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg MS 877-847-4612 888-615-6578 X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Avella of Scottsdale, Inc. 9777 N 91st ST Scottsdale AZ 480-451-3771 480-451-3503 X X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Carolina Compounding & Nutritional Pharmacy 7825 Ballantyne Commons Parkway Suite 230 Charlotte NC 704-540-4330 704-540-4660 X X X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Comprehensive Wellness Pharmacy 2269 Wilma Rudolph Blvd. Suite 103 Clarksville TN (855) 806-6042 Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X X X Everwell Specialty Pharmacy 825 E. Burgess Road Pensacola FL 850-473-9190 850-473-9935 X X X X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL Medical Center Pharmacy 912 S. 16th Street Wilmington NC Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff Park Compounding 9257 Research Dr Patient Care America X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X (205) 981-2352 (205) 981-2767 X X X 910-763-1896 910-763-1709 X X X X X NJ 888-891-3334 866-891-3334 X X X X X X X Irvine CA 949-551-7195 949-551-1950 X X X X X X X 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 620 Congaree Road Suite F Greenville SC 864-241-0477 864-241-0843 X X Pharmacy Link Birmingham AL Altamonte Springs FL 866-332-6966 407-260-7002 866-374-4761 407-260-7044 X X Pharmacy Specialists 3648 Vann Road Building II Suite 116 393 Maitland Ave X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 X X ProCompounding Pharmacy 527 N. State of Franklin Rd. Suite 2 Johnson City TN (423) 975-0597 (423) 975-6304 X X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor Beverly Hills CA (310) 273-1644 (310) 276-4152 X X Rx3 Compounding Pharmacy Chester Jacksonville VA FL 804-717-5000 904-361-3861 804-717-8300 904-361-3866 X Smart Pharmacy 12230 Ironbridge Rd Suite C 3740 St. Johns Bluff Road #19 Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 TPS 3524 Decatur Highway Suite 302 Fultondale AL Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 913-345-3803 X X X X X 205-608-4995 205-608-2718 X AL 877-581-5445 877-495-5445 X Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Return to Instructions 423-245-6391 X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 NORTH DAKOTA (ND) Pharmacy Name Address City State Phone Fax Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 TOP HRT PED NAS STR SUP PTD America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Magnolia Specialty Pharmacy MasterPharm X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 855-422-2400 X X X 770-421-1399 770-426-1965 X X X AL 256-260-3350 256-260-3351 X X X X Castle Rock CO 303-663-4224 303-663-4263 X X X X 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 3740 St. Johns Bluff Road #19 San Antonio Jacksonville TX FL 210-718-0300 904-361-3861 210-255-1461 904-361-3866 X Smart Pharmacy X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth 844-977-3770 X X Return to Instructions TX 817-887-5545 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 OHIO (OH) Pharmacy Name Address City State Phone Access Compounding Pharmacy 1450 Emerson Ave. #110 McLean VA (571) 488-6620 (571) 488-6621 Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 Akron Health Mart Pharmacy 879 East Exchange St Akron OH 330-375-5040 330-375-5048 X X X America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg MS 877-847-4612 888-615-6578 X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X BioMed Specialty Pharmacy 7731 Cox Lane West Chester OH 513-847-1260 513-847-1506 X X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Buderer Drug Company 38530 Chester Road Suite 400 Avon OH 440-934-3100 440-934-3103 X X X X X X X Buderer Drug Company 26611 N. Dixie Highway Suite 119 Perrysburg OH 419-873-2800 419-873-0494 X X X X X X X Buderer Drug Company 633 Hancock Street Sandusky OH 419-627-2800 419-626-0494 X X X X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X Clark Professional Pharmacy 3280 Washtenaw Ave Ann Arbor MI 734-369-8782 734-585-5184 X X X X X Clark's Rx Pharmacy 7415 Old Troy Pike Huber Heights OH (937) 506-3060 (937) 506-3061 X X X X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Fort Wayne Custom Rx Inc 425 E Dupont Road Fort Wayne IN 260-490-3447 260-490-3457 X X X X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X Haldey Pharmaceutical Compounding 2510 Westchester Ave Suite 207 Bronx NY 855-426-6768 855-326-6768 X X X Health Dimensions, Inc 39303 Country Club Drive A26 Farmington Hills MI 800-836-2303 248-489-1586 X X X X Hill Country Apothecary 1310 RR 620 S. Suite A-1 Lakeway TX 512-351-9139 512-366-5573 X X X X Hopewell Pharmacy Hopewell Tampa NJ FL 609-466-1960 813-839-8861 609-466-8222 813-839-8941 X X X Hoye's Pharmacy 1 West Borad Street 4330 South Manhattan Avenue X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Return to Instructions Fax TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 OHIO (OH) – Continued Pharmacy Name Address City State Phone Fax La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X MD Compounding Pharmacy 721 Boardman-Canfield Rd Boardman OH 330-726-6337 855-301-8645 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pentec Health, Inc. 120 Forbes Blvd Suite 140 Mansfield MA 800-233-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Innovations 4000 Park St St. Petersburg FL 727-381-0700 727-347-2050 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Pharmacy Solutions Ann Arbor Altamonte Springs MI FL (734) 821-8000 (734) 821-8001 407-260-7002 407-260-7044 X X X Pharmacy Specialists 5204 Jackson Road Suite C 393 Maitland Ave X X X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 X X X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X Precision Compounding Pharmacy 2113 State Street New Albany IN 812-941-9300 812-941-9417 X X X X X Professional Compounding Pharmacists 111 2nd Street Suite 100 Leechburg PA 877-883-9300 877-883-9301 X X X X X Rock Valley Compounding Pharmacy Rockford Jacksonville IL FL (779) 423-0542 (815) 977-3077 904-361-3861 904-361-3866 X X X X Smart Pharmacy 811 S. Perryville Rd Unit 109 3740 St. Johns Bluff Road #19 X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X Sugar Land Compounding Pharmacy 14823 Southwest Freeway, Suite B Sugar Land TX (281) 302-6080 (281) 302-8259 X X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X Return to Instructions 401-823-0300 813-925-8933 817-887-5545 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 OKLAHOMA (OK) Pharmacy Name Address City State Phone Access Compounding Pharmacy 1450 Emerson Ave. #110 McLean VA (571) 488-6620 (571) 488-6621 Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg MS 877-847-4612 888-615-6578 X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Baker Express Pharmacy 1842 N Hwy 81 Duncan OK 580-255-3784 580-252-6278 X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions Birmingham Wichita AL KS 866-988-3383 316-721-2626 866-988-3553 316-721-4823 X X X X Custom Rx Pharmacy & Wellness Concepts 2637 Valleydale Rd. 3510 N Ridge Road Suite 900 X X X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Hill Country Apothecary Lakeway Tampa TX FL 512-351-9139 813-839-8861 512-366-5573 813-839-8941 X X X X Hoye's Pharmacy 1310 RR 620 S. Suite A-1 4330 South Manhattan Avenue X X X X Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X Inverness Apothecary Trinity Trinity Murphy AL TX 256-260-3350 972-535-2020 256-260-3351 855-385-9990 X X X X Inverness Lone Star Pharmacy 24333 Gordon Terry Parkway Suite B 223 E. FM 544 Suite 806 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Partell Specialty Pharmacy West 8751 W Charleston Blvd Suite 120 Las Vegas NV 702-685-3800 702-685-3636 X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 1030 Louetta Road Suite C Houston TX 281-251-0888 281-251-0889 X X Pharmacy Innovations 4000 Park St St. Petersburg FL 727-381-0700 727-347-2050 X X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X Return to Instructions Fax TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 OKLAHOMA (OK) – Continued Pharmacy Name Address City State Phone Red River Pharmacy Services Inc 1327 College Drive Texarkana TX (903) 792-7435 (903) 793-0485 X X X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 X X X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor Beverly Hills CA (310) 273-1644 (310) 276-4152 X X X X X X Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 913-345-3803 X X X X X X X Sugar Land Compounding Pharmacy 14823 Southwest Freeway, Suite B Sugar Land TX X X X X X X The Apothecary Shoppe (Tulsa) 6136 E 51st Street Tulsa OK (281) 302-6080 (281) 302-8259 918-665-2003 918-665-8283 X X X X X X X The Apothecary Shoppe of BA 510 N Elm Place Broken Arrow OK 918-449-9988 918-449-9989 X X X X X X X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 X X X X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X X X Return to Instructions Fax 210-255-1461 813-925-8933 817-887-5545 TOP HRT PED NAS STR SUP PTD X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 OREGON (OR) Pharmacy Name Address City State Phone Fax Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Broadway Apothecary 1515 Oak Street Eugene OR 541-684-9352 541-684-0858 X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy Fusion Specialty Pharmacy 2001 Westwood Blvd. Suite A 1100 Canyon View Drive Suite C Los Angeles Santa Clara CA UT (310) 204-6676 (310) 204-6678 435-703-9680 435-703-9681 Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 X X X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Owens Healthcare #8 2025 Court Street Suite B Redding CA 530-244-8669 530-243-0687 X X X X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X X Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 X X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor Beverly Hills CA (310) 273-1644 (310) 276-4152 X X X X Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Return to Instructions 866-891-3334 509-343-6251 305-969-5453 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 PENNSYLVANIA (PA) Pharmacy Name Address City State Phone Fax Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X Haldey Pharmaceutical Compounding 2510 Westchester Ave Suite 207 Bronx NY 855-426-6768 855-326-6768 X X X Harbor Compounding and Home Healthcare 2000 Harbor Blvd Suite C100 Costa Mesa CA 949-642-0106 949-642-5039 X X X X Harrold's Pharmacy Wilkes Barre Tampa PA FL 570-822-5794 813-839-8861 570-824-8730 813-839-8941 X X X X X Hoye's Pharmacy 250 Old River Road 4330 South Manhattan Avenue X X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X Pentec Health, Inc. 120 Forbes Blvd Suite 140 Mansfield MA 800-233-4376 610-494-7328 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 X X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X Professional Compounding Pharmacists 111 2nd Street Suite 100 3740 St. Johns Bluff Road #19 Leechburg Jacksonville PA FL 877-883-9300 904-361-3861 877-883-9301 904-361-3866 X X X Smart Pharmacy X X X X X Smart Pharmacy 14003 Beach Blvd Jacksonville FL 904-503-5030 904-361-3866 X X X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X Sunquest Pharmaceuticals 150 Eileen Way Suite 1 Syosset NY 516-513-0799 516-677-6050 X X X X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X X X V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X X X X X Return to Instructions 401-823-0300 817-887-5545 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 RHODE ISLAND (RI) Pharmacy Name Address City State Phone Fax Acton Pharmacy Inc 563 Massachusetts Ave Acton MA 978-263-3901 978-263-3901 Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg MS 877-847-4612 888-615-6578 X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Birds Hill Pharmacy 401 Great Plain Ave Needham MA 781-449-0550 781-449-7993 X X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X Hopewell Pharmacy 1 West Borad Street 4330 South Manhattan Avenue Hopewell Tampa NJ FL 609-466-1960 813-839-8861 X X X X X X Hoye's Pharmacy X X X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 X X X X X X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Innovations 4000 Park St St. Petersburg FL 727-381-0700 727-347-2050 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 X X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X Return to Instructions 609-466-8222 813-839-8941 866-891-3334 401-823-0300 TOP X HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 RHODE ISLAND (RI) –Continued Pharmacy Name Address City State Phone Fax RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 RoxSan Pharmacy Smart Pharmacy 465 N. Roxbury Dr. Ground Floor 3740 St. Johns Bluff Road #19 Beverly Hills Jacksonville CA FL Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 V.L.S. Pharmacy, Inc. TOP HRT PED NAS STR SUP PTD X X X X (310) 273-1644 (310) 276-4152 904-361-3861 904-361-3866 X X X X X X X NY (718) 353-2595 (718) 886-8658 X X Phoenix AZ (480) 351-8278 (480) 351-8277 X Homewood AL 877-581-5445 X 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 X X X X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X X X Return to Instructions 877-495-5445 813-925-8933 817-887-5545 X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 SOUTH CAROLINA (SC) Pharmacy Name Address City State Phone Fax Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 Allcare Pharmacy and Healthcare Services 112 S. Oxley Drive Lyons GA 912-526-3200 912-526-5960 X X X America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Carolina Compounding & Nutritional Pharmacy 7825 Ballantyne Commons Parkway Suite 230 Charlotte NC 704-540-4330 704-540-4660 X X X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X X X Everwell Specialty Pharmacy 825 E. Burgess Road Pensacola FL 850-473-9190 850-473-9935 X X X X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X Hopewell Pharmacy 1 West Borad Street 4330 South Manhattan Avenue Hopewell Tampa NJ FL 609-466-1960 813-839-8861 X X X X X X Hoye's Pharmacy X X X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 620 Congaree Road Suite F Greenville SC 864-241-0477 864-241-0843 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X Pharmacy Link Birmingham AL Altamonte Springs FL 866-332-6966 407-260-7002 866-374-4761 407-260-7044 X X Pharmacy Specialists 3648 Vann Road Building II Suite 116 393 Maitland Ave X X Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X Professional Arts Pharmacy 128 Curran Lane Lafayette LA 337-991-0101 337-991-0151 X X X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor Beverly Hills CA (310) 273-1644 (310) 276-4152 X X X X X X X Rx3 Compounding Pharmacy Chester Jacksonville VA FL 804-717-5000 904-503-5030 804-717-8300 904-361-3866 X X X X X X X Smart Pharmacy 12230 Ironbridge Rd Suite C 14003 Beach Blvd X X X X X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Return to Instructions 609-466-8222 813-839-8941 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 SOUTH DAKOTA (SD) Pharmacy Name Address City State Phone Fax Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 TOP HRT PED NAS STR SUP PTD America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg MS 877-847-4612 888-615-6578 X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X Comprehensive Wellness Pharmacy 2269 Wilma Rudolph Blvd. Suite 103 Clarksville TN (855) 806-6042 Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Eldon Drug Company 101 S. Maple Street Eldon MO 573-392-4588 573-392-4425 X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Kohana Pharmacy Lee Silsby Compounding Pharmacy X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 855-422-2400 X X X 770-421-1399 770-426-1965 X X X AL 256-260-3350 256-260-3351 X X X X Castle Rock CO 303-663-4224 303-663-4263 X X X X 181 Tank Farm Road Suite 120 San Luis Obispo CA 805-542-0864 805-542-0867 X X X X 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 X X X X X X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor 3740 St. Johns Bluff Road #19 Beverly Hills Jacksonville CA FL (310) 273-1644 (310) 276-4152 904-361-3861 904-361-3866 X Smart Pharmacy X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 X X X X X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X X X Return to Instructions 866-891-3334 913-345-3803 817-887-5545 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 TENNESSEE (TN) Pharmacy Name Address City State Phone Fax Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X Comprehensive Wellness Pharmacy 2269 Wilma Rudolph Blvd. Suite 103 Clarksville TN (855) 806-6042 Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X Family Pharmacy 2653 Bruce B Downs Blvd Suite 115 Wesley Chapel FL 813-991-9500 813-991-9600 X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fountain Plaza Pharmacy 2825 W. Andrew Johnson Hwy Morristown TN (423) 307-5757 (423) 307-5241 X X X X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X Hopewell Pharmacy 1 West Borad Street 4330 South Manhattan Avenue Hopewell Tampa NJ FL 609-466-1960 813-839-8861 X X X X X X Hoye's Pharmacy X X X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X Inverness Apothecary South Texas Inc 5009 S McColl Rd Suite A Edinburg TX 956-467-0246 956-688-8967 X X X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X Precision Compounding Pharmacy 2113 State Street New Albany IN 812-941-9300 812-941-9417 X X X X X Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X X X Return to Instructions TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X 609-466-8222 813-839-8941 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 TENNESSEE (TN) – Continued Pharmacy Name Address City State Phone ProCompounding Pharmacy 527 N. State of Franklin Rd. Suite 2 Johnson City TN (423) 975-0597 (423) 975-6304 X X X X Professional Arts Pharmacy 128 Curran Lane Lafayette LA 337-991-0101 X X X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor Beverly Hills CA (310) 273-1644 (310) 276-4152 X X X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Volunteer Pharmacy 2403 US Highway 411 South Maryville TN (865) 724-1453 (865) 724-1601 X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X Return to Instructions Fax 337-991-0151 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 TEXAS (TX) Pharmacy Name Address City State Phone 1 Script Solution RX 2060 Space Park Drive, Ste 108 Houston TX (855) 553-3157 (855) 223-4008 Fax TOP X Acton Pharmacy Inc 563 Massachusetts Ave Acton MA 978-263-3901 978-263-3901 X Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 Apothecare Compounding Pharmacy 9150 Huebner Rd. Suite #125B San Antonio TX Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Avella of Scottsdale, Inc. HRT PED NAS STR SUP PTD X X X X X X X X (210) 696-4100 (210) 696-4105 X X X 727-451-6815 888-209-4962 X TN 615-288-4037 615-288-4061 X X MS 877-847-4612 888-615-6578 X X Phoenix AZ 877-792-7684 866-792-7684 X X X X 9777 N 91st ST Scottsdale AZ 480-451-3771 480-451-3503 X X X X B&J Pharmacy 2111 Hunter Road San Marcos TX 512-392-3301 512-392-3360 X X X X Boudreaux's Specialty Compounding Pharmacy 2551 Greenwood Road #110 Shreveport LA 318-631-2005 318-631-1883 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Chemistry Rx 829 Spruce Street Suite 100 4400 Teasley Lane #100 Philadelphia Denton PA TX 855-790-0100 940-382-1618 267-861-0862 940-898-1986 X X X X Community Pharmacy X X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 CPRx Pharmacy 351 Cypress Creek Rd Suite 100 Cedar Park TX (512) 382-7393 (512) 382-7488 X X Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions Birmingham Wichita AL KS 866-988-3383 316-721-2626 866-988-3553 316-721-4823 X X X X Custom Rx Pharmacy & Wellness Concepts 2637 Valleydale Rd. 3510 N Ridge Road Suite 900 X X X X Cypress Compounding Pharmacy 9511 Huffmeister Road Suite 104 Houston TX 832-617-0290 832-510-4003 X X X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Dougherty's Pharmacy 5959 Royal Lane Suite 515 Dallas TX (214) 373-5300 (214) 373-5333 X X X X X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court 1100 Canyon View Drive Suite C Earth City Santa Clara MO UT 314-291-1122 435-703-9680 314-291-1133 435-703-9681 X X X X Bronx Wichita Falls NY TX 855-426-6768 940-692-7081 855-326-6768 940-692-9676 X X X Harvest Drug & Gift 2510 Westchester Ave Suite 207 4426 Kell West Boulevard X X X X Health Dimensions, Inc 39303 Country Club Drive A26 Farmington Hills MI 800-836-2303 248-489-1586 X X X Highland Pharmacy 717 Encino Place NE Suite 1 Albuquerque NM 505-243-3777 505-242-3216 X X Hill Country Apothecary 1310 RR 620 S. Suite A-1 Lakeway TX 512-351-9139 512-366-5573 X Hopewell Pharmacy Hoye's Pharmacy 1 West Borad Street 4330 South Manhattan Avenue Hopewell Tampa NJ FL 609-466-1960 813-839-8861 609-466-8222 813-839-8941 Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA Inverness Apothecary South Texas Inc 5009 S McColl Rd Suite A Edinburg Inverness Apothecary Trinity Inverness Lone Star Pharmacy 24333 Gordon Terry Parkway Suite B 223 E. FM 544 Suite 806 ITC Compounding & Natural Wellness Pharmacy Keystone Pharmacy, LLC Fusion Specialty Pharmacy Haldey Pharmaceutical Compounding X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 855-422-2400 X X X 770-421-1399 770-426-1965 X X X X X TX 956-467-0246 956-688-8967 X X X X Trinity Murphy AL TX 256-260-3350 972-535-2020 256-260-3351 855-385-9990 X X X X X X X X 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X Return to Instructions X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 TEXAS (TX) – Continued Pharmacy Name Address City State Phone Fax Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 TOP X HRT PED NAS STR SUP PTD Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X McMahan Pharmacy Services Inc 1503 West Front Street Goldthwaite TX 325-648-2484 325-648-3417 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Medscript Pharmacy Orland Park Houston IL TX 708-460-4930 713-523-7847 708-460-4932 713-524-5024 X Memorial Compounding Pharmacy 14400 John Humphery Drive Ste 110 2918 San Jacinto Street X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X Oakdell Pharmacy 7220 Louis Pasteur, Ste 176 San Antonio TX (210) 614-6200 (210) 614-3848 X X X X X Partell Specialty Pharmacy West 8751 W Charleston Blvd Suite 120 Las Vegas NV 702-685-3800 702-685-3636 X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 1030 Louetta Road Suite C Houston TX 281-251-0888 281-251-0889 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X Pharmacy Innovations 4000 Park St St. Petersburg FL 727-381-0700 727-347-2050 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Pharmacy Solutions Ann Arbor Altamonte Springs MI FL (734) 821-8000 (734) 821-8001 407-260-7002 407-260-7044 X X X Pharmacy Specialists 5204 Jackson Road Suite C 393 Maitland Ave X X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X Professional Arts Pharmacy 128 Curran Lane Lafayette LA 337-991-0101 337-991-0151 X X X X Pyramids Pharmacy 1201 Dairy Ashford Road Suite 114 Houston TX 281-589-2400 281-589-2405 X X X X Pyramids Pharmacy Webster 500 N Kobayashi Road Suite E Webster TX 281-724-0531 281-724-0535 X X X X Red River Pharmacy Services Inc 1327 College Drive Texarkana TX (903) 792-7435 (903) 793-0485 X X X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X Richie's Specialty Pharmacy 12820 Highway 105 W Conroe TX 936-588-6337 936-588-2232 X RoxSan Pharmacy Beverly Hills Jacksonville CA FL (310) 273-1644 (310) 276-4152 904-361-3861 904-361-3866 X X X Smart Pharmacy 465 N. Roxbury Dr. Ground Floor 3740 St. Johns Bluff Road #19 X X Smart Pharmacy 14003 Beach Blvd Jacksonville FL 904-503-5030 X Solutions Pharmacy 8825 Bee Cave Rd Suite A Austin TX (512) 382-9381 (512) 532-6689 Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY Stonegate Pharmacy 2501 W. William Cannon Suite 203 Austin Stonegate Pharmacy at the Village 5625 Eiger Rd Suite 250 Austin Stonegate Pharmacy on Broadway 2515 Broadway Sugar Land Compounding Pharmacy X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X (718) 353-2595 (718) 886-8658 X X TX 512-707-2300 X X X X TX (512) 693-4222 (512) 487-5311 X X X X San Antonio TX (210) 354-0101 (210) 354-0404 X X X X 14823 Southwest Freeway, Suite B Sugar Land TX (281) 302-6080 (281) 302-8259 X X X X X X Tarrytown Pharmacy 2727 Exposition Blvd #105 Austin TX (512) 478-6419 (512) 478-1638 X X X X X X The Daily Dose Pharmacy 4534 West Gate Blvd Ste #111 Austin TX (512) 334-9697 (572) 334-9698 X X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X Triumph Pharmacy 6875 FM 1488 Road Suite 300 Magnolia TX 281-252-4200 281-252-4201 X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X Return to Instructions 904-361-3866 512-707-2378 813-925-8933 817-887-5545 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 UTAH (UT) Pharmacy Name Address City State Phone Fax Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 TOP America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA Central Rexall Drugs, Inc 125 E. Thomas Street Hammond Clearspring Pharmacy 206 W. County Line Road Suite 100 Conversio Health HRT PED NAS STR SUP PTD X X X X X X X X 866-792-7684 X X X X 610-485-1130 610-485-9223 X X X LA 985-345-5120 985-345-5178 X X X X Highlands Ranch CO 303-707-1500 303-707-1717 X X X X 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X Custom Pharmacy Solutions Birmingham Wichita AL KS 866-988-3383 316-721-2626 866-988-3553 316-721-4823 X X X X Custom Rx Pharmacy & Wellness Concepts 2637 Valleydale Rd. 3510 N Ridge Road Suite 900 X X X X Cypress Compounding Pharmacy 9511 Huffmeister Road Suite 104 Houston TX 832-617-0290 832-510-4003 X X X X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy Los Angeles Santa Clara CA UT (310) 204-6676 (310) 204-6678 435-703-9680 435-703-9681 X X X X Fusion Specialty Pharmacy 2001 Westwood Blvd. Suite A 1100 Canyon View Drive Suite C X X X X Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 X X X Mt. Olympus Compounding, LLC 392 E 12300 S Suite A Draper UT (801) 278-9008 (801) 849-0399 X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X Partell Specialty Pharmacy East 5835 S Eastern Ave Suite 101 Las Vegas NV 702-791-3800 702-791-3630 X X X Partell Specialty Pharmacy West 8751 W Charleston Blvd Suite 120 Las Vegas NV 702-685-3800 702-685-3636 X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Innovations 4000 Park St St. Petersburg FL 727-381-0700 727-347-2050 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 X X X X RoxSan Pharmacy Beverly Hills Jacksonville CA FL (310) 273-1644 (310) 276-4152 904-361-3861 904-361-3866 X X X X Smart Pharmacy 465 N. Roxbury Dr. Ground Floor 3740 St. Johns Bluff Road #19 X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X Return to Instructions 609-466-8222 866-891-3334 210-255-1461 817-887-5545 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 VERMONT (VT) Pharmacy Name Address City State Phone Fax Acton Pharmacy Inc 563 Massachusetts Ave Acton MA 978-263-3901 978-263-3901 Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Aspirar Pharmacy 135 Parkway Office G STE 105 Cary NC 919-971-9011 855-382-7700 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Birds Hill Pharmacy 401 Great Plain Ave Needham MA 781-449-0550 781-449-7993 X X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 X X X X X X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X Pentec Health, Inc. 120 Forbes Blvd Suite 140 Mansfield MA 800-233-4376 610-494-7328 X PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 3740 St. Johns Bluff Road #19 San Antonio Jacksonville TX FL 210-718-0300 904-361-3861 210-255-1461 904-361-3866 X X X Smart Pharmacy X X X Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X X Return to Instructions TOP X HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 480-496-4450 X X 314-291-1133 X 866-891-3334 817-887-5545 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 VIRGINIA (VA) Pharmacy Name Address City State Phone Access Compounding Pharmacy 1450 Emerson Ave. #110 McLean VA (571) 488-6620 (571) 488-6621 Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 Alexandria Compounding Pharmacy 500 Montgomery St. #120 Alexandria VA (703) 549-4350 (703) 683-1039 X X X America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X Bradley Drugs 6900 Arlington Road Bethesda MD (301) 654-6776 (301) 657-9361 X X X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Comprehensive Wellness Pharmacy 2269 Wilma Rudolph Blvd. Suite 103 Clarksville TN (855) 806-6042 Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X X X Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X X X X Dan's Wellness Pharmacy 418 Garrisonville Road Suite 100 Stafford VA 540-657-0006 540-657-9654 X X X X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court 1100 Canyon View Drive Suite C Earth City Santa Clara MO UT 314-291-1122 435-703-9680 314-291-1133 435-703-9681 X X X X X Hopewell Tampa NJ FL 609-466-1960 813-839-8861 609-466-8222 813-839-8941 X X X X X X Hoye's Pharmacy 1 West Borad Street 4330 South Manhattan Avenue X X X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Kare Pharmacy 136 Arnett Blvd Danville VA (434) 792-8281 (434) 792-3235 X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X X X Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X X X X Medicap Pharmacy 956 J. Clyde Morris Blvd Newport News VA 757-599-9643 757-599-9647 X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 Patterson Park Pharmacy 2245 Eastern ave Baltimore MD (410) 675-6046 (410) 563-1147 Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X X X Pharmacy Innovations 4661 Haygood Road Suite 101 Virginia Beach VA 757-934-0533 757-228-3991 X X X X Fusion Specialty Pharmacy Hopewell Pharmacy Return to Instructions Fax TOP HRT PED NAS STR SUP PTD X X X 888-298-2220 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 VIRGINIA (VA) - Continued Pharmacy Name Address City State Phone Fax Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 Pharmacy Solutions Pharmacy Specialists 5204 Jackson Road Suite C 393 Maitland Ave Ann Arbor MI Altamonte Springs FL Phusion Pharmacy 17 Coventry Shoppers Park Coventry Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula Premier Pharmacy Inc. 109 Jack White Dr ProCompounding Pharmacy 527 N. State of Franklin Rd. Suite 2 Rustburg Family Pharmacy Rx3 Compounding Pharmacy TOP HRT PED NAS STR SUP PTD X X (734) 821-8000 (734) 821-8001 407-260-7002 407-260-7044 X X X X X X X RI 401-823-0000 X X X X MT (406) 541-6121 (406) 541-6267 X X Kingsport TN 423-245-1022 X X Johnson City TN (423) 975-0597 (423) 975-6304 X X X 925 Village Hwy Ste 2 Rustburg VA 434-332-1730 434-332-1736 X X Chester Midlothian VA VA 804-717-5000 804-897-6447 804-717-8300 804-897-6449 X South River Compounding Pharmacy 12230 Ironbridge Rd Suite C 11420 W. Huguenot Road South River Compounding Pharmacy 3656 Mayland Court Richmond VA 804-897-6447 The Compounding Center 36 Catoctin Circle Southeast Leesburg VA TPS 3524 Decatur Highway Suite 302 Fultondale Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Vasco Rx Specialty Pharmacy Woodland Hills Pharmacy X X X X X X X X X X X X X X X X X X X X X X X X X X X X 804-967-6449 X X X X X X 703-779-3301 703-443-2283 X X X X X X AL 205-608-4995 205-608-2718 X Homewood AL 877-581-5445 877-495-5445 X 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Return to Instructions 401-823-0300 X 423-245-6391 X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 WASHINGTON (WA) Pharmacy Name Address City State Phone AAA Compounding Pharmacy 7921 Westminster Blvd. Westminster CA (714) 988-6888 (714) 677-2400 X Access Compounding Pharmacy 1450 Emerson Ave. #110 McLean VA (571) 488-6620 (571) 488-6621 X Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Broadway Apothecary 1515 Oak Street Eugene OR 541-684-9352 541-684-0858 X X X X Cascade Specialty Pharmacy 325 NE Hostmark St Poulsbo WA (360) 779-2737 (360) 779-4905 X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions Birmingham Wichita AL KS 866-988-3383 316-721-2626 866-988-3553 316-721-4823 X X X X Custom Rx Pharmacy & Wellness Concepts 2637 Valleydale Rd. 3510 N Ridge Road Suite 900 X X X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy Los Angeles Santa Clara CA UT (310) 204-6676 (310) 204-6678 435-703-9680 435-703-9681 X X X X Fusion Specialty Pharmacy 2001 Westwood Blvd. Suite A 1100 Canyon View Drive Suite C X X X X Harbor Compounding and Home Healthcare 2000 Harbor Blvd Suite C100 Costa Mesa CA 949-642-0106 949-642-5039 X X X X Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X X X La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 Return to Instructions Fax TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 WASHINGTON (WA) -Continued Pharmacy Name Address City State Phone Fax Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 509-343-6251 X X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor 3740 St. Johns Bluff Road #19 Beverly Hills Jacksonville CA FL (310) 273-1644 (310) 276-4152 904-361-3861 904-361-3866 X X X Smart Pharmacy X X X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 X X X X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X X X Return to Instructions 205-608-2718 813-925-8933 817-887-5545 TOP X HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 WEST VIRGINIA (WV) Pharmacy Name Address City State Phone Access Compounding Pharmacy 1450 Emerson Ave. #110 McLean VA (571) 488-6620 (571) 488-6621 Fax TOP HRT PED NAS STR SUP PTD Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X X X Family Pharmacy 2653 Bruce B Downs Blvd Suite 115 Wesley Chapel FL 813-991-9500 813-991-9600 X X X X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Kare Pharmacy Lee Silsby Compounding Pharmacy X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 855-422-2400 X X X 770-421-1399 770-426-1965 X X X AL 256-260-3350 256-260-3351 X X X X Castle Rock CO 303-663-4224 303-663-4263 X X X X 136 Arnett Blvd Danville VA (434) 792-8281 (434) 792-3235 X X X X 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor Beverly Hills CA (310) 273-1644 (310) 276-4152 X X X X The Compounding Center 36 Catoctin Circle Southeast Leesburg VA 703-779-3301 703-443-2283 X X X X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Return to Instructions 813-925-8933 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 WISCONSIN (WI) Pharmacy Name Address City State Phone 1 Script Solution RX 2060 Space Park Drive, Ste 108 Houston TX (855) 553-3157 (855) 223-4008 X Access Compounding Pharmacy 1450 Emerson Ave. #110 McLean VA (571) 488-6620 (571) 488-6621 X Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg MS 877-847-4612 888-615-6578 X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X Buderer Drug Company 633 Hancock Street Sandusky OH 419-627-2800 419-626-0494 X X X X X Central Avenue Pharmacy, Inc 133 Fifteenth Street Pacific Grove CA 831-373-1225 831-373-3705 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions Birmingham Wichita AL KS 866-988-3383 316-721-2626 866-988-3553 316-721-4823 X X X X Custom Rx Pharmacy & Wellness Concepts 2637 Valleydale Rd. 3510 N Ridge Road Suite 900 X X X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Doug's Pharmacy 137 N. Market Street Paxton IL 217-379-3684 217-379-6115 X X X X Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X Health Dimensions, Inc 39303 Country Club Drive A26 Farmington Hills MI 800-836-2303 248-489-1586 X X X X Heritage Compounding Pharmacy 11 Midtown Park East Mobile AL 251-472-0814 251-472-0864 X X X X Hopewell Pharmacy Hopewell Tampa NJ FL 609-466-1960 813-839-8861 609-466-8222 813-839-8941 X X X Hoye's Pharmacy 1 West Borad Street 4330 South Manhattan Avenue X X X Imprimis Rx 780 Primos Ave Unit E Folcroft PA (888) 824-8100 (866) 302-7625 Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Ladd Family Pharmacy 1109 S. Broadway Ave Boise ID 208-947-0877 208-947-0874 X X X X Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X Medscript Pharmacy Orland Park Houston IL TX 708-460-4930 713-523-7847 708-460-4932 713-524-5024 X Memorial Compounding Pharmacy 14400 John Humphery Drive Ste 110 2918 San Jacinto Street X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 Return to Instructions Fax TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 WISCONSIN (WI) – Continued Pharmacy Name Address City State Phone Fax Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X Partell Specialty Pharmacy East 5835 S Eastern Ave Suite 101 Las Vegas NV 702-791-3800 702-791-3630 X X X X X X X Partell Specialty Pharmacy West 8751 W Charleston Blvd Suite 120 Las Vegas NV 702-685-3800 702-685-3636 X X X X X X Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 X X X Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 X X X X Rock Valley Compounding Pharmacy 811 S. Perryville Rd Unit 109 Rockford IL (779) 423-0542 (815) 977-3077 X X X X RoxSan Pharmacy Beverly Hills Jacksonville CA FL (310) 273-1644 (310) 276-4152 904-361-3861 904-361-3866 X X X X Smart Pharmacy 465 N. Roxbury Dr. Ground Floor 3740 St. Johns Bluff Road #19 X X X Specialty Chemist Corp. 65-60 Fresh Meadow Lane Fresh Meadows NY (718) 353-2595 (718) 886-8658 X X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X X X X Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 X X X X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X X X Return to Instructions 401-823-0300 210-255-1461 813-925-8933 817-887-5545 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016 WYOMING (WY) Pharmacy Name Address City State Phone 1 Script Solution RX 2060 Space Park Drive, Ste 108 Houston TX (855) 553-3157 (855) 223-4008 Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 X X X X Century Pharmacy LLC 37 W. Century Rd Suite 113 Paramus NJ 201-261-6479 201-261-9479 X Clearspring Pharmacy 206 W. County Line Road Suite 100 Highlands Ranch CO 303-707-1500 303-707-1717 X X X Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X Custom Meds, Inc. 102 E Highland Blvd Inverness FL 352-341-1212 352-341-2626 X X Custom Pharmacy Solutions 2637 Valleydale Rd. Birmingham AL 866-988-3383 866-988-3553 X X DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 X DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X Essential Pharmacy Compounding 620 N 114 Street Omaha NE 402-408-0015 402-408-0020 X X X Everwell Specialty Pharmacy 825 E. Burgess Road Pensacola FL 850-473-9190 850-473-9935 X X X Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X Fusion Rx Compounding Pharmacy Los Angeles Santa Clara CA UT (310) 204-6676 (310) 204-6678 435-703-9680 435-703-9681 X X X X Fusion Specialty Pharmacy 2001 Westwood Blvd. Suite A 1100 Canyon View Drive Suite C X X X X Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X ITC Compounding & Natural Wellness Pharmacy 651 Topeka Way Ste 600 Castle Rock CO 303-663-4224 303-663-4263 X X X X Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X Medaus Pharmacy 6801 Cahaba Valley Rd Suite 116 Birmingham AL (205) 981-2352 (205) 981-2767 X X X Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 X Medtown Rx Burbank Houston CA TX (818) 500-0079 (818) 500-0225 713-523-7847 713-524-5024 X X X X Memorial Compounding Pharmacy 4128 W. Burbank Blvd 2918 San Jacinto Street X X Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 X X X X Mt. Olympus Compounding, LLC 392 E 12300 S Suite A Draper UT (801) 278-9008 (801) 849-0399 X X National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X Park Compounding 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X Partell Specialty Pharmacy East 5835 S Eastern Ave Suite 101 Las Vegas NV 702-791-3800 702-791-3630 X X X Partell Specialty Pharmacy West 8751 W Charleston Blvd Suite 120 Las Vegas NV 702-685-3800 702-685-3636 X X X X Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 Pharmacy Creations 540 Route 10 West Randolph NJ 973-328-8756 973-328-8731 X Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 X X RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X RoxSan Pharmacy 465 N. Roxbury Dr. Ground Floor 3740 St. Johns Bluff Road #19 Beverly Hills Jacksonville CA FL (310) 273-1644 (310) 276-4152 904-361-3861 904-361-3866 X Smart Pharmacy X Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 X Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 X Vasco Rx Specialty Pharmacy 4045 E Bell Rd Suite 163 Phoenix AZ (602) 971-6950 (602) 404-2504 X X X X Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X Xpress Compounding 1000 W. Weatherford St Suite 120 Fort Worth TX 844-977-3770 X X Return to Instructions Fax 708-460-4932 866-891-3334 305-969-5453 205-608-2718 817-887-5545 TOP HRT PED NAS STR SUP PTD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X * Return to Menu Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate in all networks. Please verify the compound credentialed pharmacy participates in your Plan’s network. 10-24-2016